Individual
ANNETTE LINNEBUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
818 S WASHINGTON AVE, WELLINGTON, KS 67152-2251
(620) 326-5350
Mailing address
818 S WASHINGTON AVE, WELLINGTON, KS 67152-2251
(620) 326-5350
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1500247
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100341350A
—
KS
01
—
1500247
LICENSE
KS
01
—
426835
BCBS
—
Enumeration date
07/11/2006
Last updated
03/07/2023
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