Individual
MR. GREG SCOTT LINDHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
605 W LINCOLN ST, LINDSBORG, KS 67456-2328
(785) 227-3371
(785) 227-3004
Mailing address
605 W LINCOLN ST, LINDSBORG, KS 67456-2328
(785) 227-3371
(785) 227-3004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00298
KS
363AM0700X
Medical Physician Assistant
15-00298
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003220G
—
KS
Enumeration date
08/01/2006
Last updated
03/23/2020
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