Individual
JONATHON J BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4722 W KELLOGG DR, WICHITA, KS 67209-2508
(316) 440-2565
(316) 440-2750
Mailing address
4722 W KELLOGG DR, WICHITA, KS 67209-2508
(316) 440-2565
(316) 440-2750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00616
KS
Other
Enumeration date
10/19/2006
Last updated
03/30/2021
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