Individual
DR. MARY VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4951 W 18TH ST, LAWRENCE, KS 66047-2090
(785) 841-6540
(785) 841-3129
Mailing address
PO BOX 46, SALINA, KS 67402-0046
(316) 300-4021
(316) 300-4040
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0417719
KS
207Q00000X
Family Medicine Physician
Primary
417719
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100193860C
—
KS
Enumeration date
08/28/2006
Last updated
09/12/2012
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