Individual
AMY S MCHENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1318 KANSAS DR, PAOLA, KS 66071-2107
(913) 557-5678
(913) 557-5681
Mailing address
1318 KANSAS DR, PAOLA, KS 66071-2107
(913) 557-5678
(913) 557-5681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500337
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100426060A
—
KS
Enumeration date
05/17/2006
Last updated
01/10/2019
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