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Individual

ELENA L WATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2660 SW 3RD ST, TOPEKA, KS 66606-2442
(785) 270-8880
(785) 270-8881
Mailing address
2660 SW 3RD ST, TOPEKA, KS 66606-2442
(785) 270-8880
(785) 270-8881

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01919
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068002409
MEDICARE PTAN
KS
05
201141440A
KS
Enumeration date
04/08/2016
Last updated
12/01/2025
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