Individual
BRYANA MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10100 E SHANNON WOODS CIR STE 100, WICHITA, KS 67226-4106
(316) 219-8299
(316) 219-5899
Mailing address
10100 E SHANNON WOODS CIR STE 100, WICHITA, KS 67226-4106
(316) 219-8299
(316) 219-5899
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106895
NCCPA CERTIFICATION
—
01
—
15-01551
KSBHA PA FEDERAL ACTIVE LICENSE
KS
Enumeration date
05/09/2012
Last updated
11/04/2021
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