Individual
AUBREY JORDAN FETHERSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
520 S SANTA FE AVE, SUITE 300, SALINA, KS 67401
(785) 823-7470
(785) 823-0506
Mailing address
520 S SANTA FE AVE, SUITE 300, SALINA, KS 67401
(785) 823-7470
(785) 823-0506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01579
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200971050B
—
KS
Enumeration date
11/02/2012
Last updated
03/04/2020
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