Individual
EMILY J DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
222 S KANSAS ST, RUSSELL, KS 67665-3000
(785) 483-3333
(785) 483-7631
Mailing address
222 S KANSAS ST, RUSSELL, KS 67665-3000
(785) 483-3333
(785) 483-7631
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-01329
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111215
BCBS OF KANSAS
KS
05
—
200269400C
—
KS
Enumeration date
09/17/2009
Last updated
12/05/2016
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