Individual
MS. AMY L FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
605 W LINCOLN ST, LINDSBORG, KS 67456
(785) 227-3371
(785) 227-3004
Mailing address
605 W LINCOLN ST, LINDSBORG, KS 67456
(785) 227-3371
(785) 227-3004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00369
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004810I
—
KS
Enumeration date
04/25/2006
Last updated
03/23/2020
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