Individual
MRS. KATHY L HERSHBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
634 SW MULVANE STEET, SUITE 100, TOPEKA, KS 66606
(785) 295-7979
(785) 295-7996
Mailing address
DEPT CH 14389, PALATINE, IL 60055-4389
(785) 295-5307
(785) 270-7646
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00785
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042745
BC/BS
KS
05
—
100401540A
—
KS
Enumeration date
08/09/2005
Last updated
12/03/2012
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