Organization
HAGAN & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILE A. HAGAN ARNP (OWNER)
(316) 219-3571
Entity
Organization
Contact information
Practice address
1431 BLUFFVIEW ST, SUITE 108, WICHITA, KS 67218-3039
(316) 219-3571
Mailing address
7329 N WOODLAWN ST, VALLEY CENTER, KS 67147-8560
(316) 219-3571
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
74122
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110580
BC BS
KS
Enumeration date
11/11/2006
Last updated
09/19/2007
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