Individual
MRS. JO ANNE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1101 E SPRING ST, ANTHONY, KS 67003-2122
(620) 842-5144
(620) 842-3372
Mailing address
485 N KS HWY 2, ANTHONY, KS 67003
(620) 914-1200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1501016
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200378490A
—
KS
01
—
426833
BCBS
KS
Enumeration date
08/11/2006
Last updated
08/08/2019
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