Individual
THOMAS W. CLOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
505 S. PLUMMER AVE, CHANUTE, KS 66720-1950
(620) 431-4418
(620) 431-4418
Mailing address
PO BOX 946, CHANUTE, KS 66720-0946
(620) 431-2500
(620) 431-4418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00720
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100385740B
—
KS
01
—
P00347392
RR MC
—
Enumeration date
10/11/2006
Last updated
12/28/2011
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