Individual
KARLA ELAINE BUSBOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1112 W 6TH ST, STE 124, LAWRENCE, KS 66044-2215
(785) 843-9125
(785) 843-6973
Mailing address
13616 CALIFORNIA ST, STE 100, OMAHA, NE 68154-5336
(402) 496-5517
(402) 496-0517
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200597400A
—
KS
Enumeration date
12/31/2008
Last updated
06/26/2017
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