Individual
DR. JONATHAN CHARLES BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 W 12TH AVE STE 301, EMPORIA, KS 66801-2590
(620) 343-2376
(620) 343-5987
Mailing address
1201 W 12TH AVE, EMPORIA, KS 66801-2504
(620) 343-2376
(620) 343-5987
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-48175
KS
207R00000X
Internal Medicine Physician
LL82485
SC
208000000X
Pediatrics Physician
LL82485
SC
Other
Enumeration date
06/13/2019
Last updated
11/25/2025
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