Individual
THERESIA A NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
807 N STATE ST, NORTON, KS 67654-1403
(785) 877-3305
(785) 877-3076
Mailing address
807 N STATE ST, NORTON, KS 67654-1403
(785) 877-3305
(785) 877-3076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-41236
KS
Other
Enumeration date
04/18/2017
Last updated
07/08/2020
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