Individual
AMANDA ROSE VOLCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
826 18TH ST, HOXIE, KS 67740-0415
(875) 675-2306
Mailing address
826 18TH ST, SUITE A, HOXIE, KS 67740
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-01869
KS
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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