Individual
CATELYN WIEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 ALBERT AVE, SCOTT CITY, KS 67871-6117
(620) 872-2187
Mailing address
201 ALBERT AVE, SCOTT CITY, KS 67871-6117
(620) 872-2187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02791
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2022
Last updated
05/01/2024
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