Individual
NANCY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9350 E 35TH ST N STE 101, WICHITA, KS 67226-2022
(316) 265-1308
(316) 219-4141
Mailing address
9350 E 35TH ST N STE 101, WICHITA, KS 67226-2022
(316) 265-1308
(316) 219-4141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00726
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100373760E
—
KS
Enumeration date
02/28/2006
Last updated
11/03/2011
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