Individual
JEANNE L HABASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1905 19TH ST, GREAT BEND, KS 67530-2502
(620) 792-5700
(855) 463-0851
Mailing address
1905 19TH ST, GREAT BEND, KS 67530-2502
(620) 792-5700
(855) 463-0851
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500593
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100355860B
—
KS
Enumeration date
05/12/2006
Last updated
02/13/2026
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