Individual
LEANN HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13213 W 21ST CT, WICHITA, KS 67235-9625
(316) 612-1833
(316) 612-2420
Mailing address
PO BOX 138, NORWICH, KS 67118-0138
(316) 285-3650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1502650
KS
Other
Enumeration date
09/10/2018
Last updated
11/07/2022
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