Individual
MRS. RIANN PAIGE TYREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
721 W KANSAS AVE, GREENSBURG, KS 67054-1633
(620) 723-2127
(207) 231-0376
Mailing address
721 W KANSAS AVE, GREENSBURG, KS 67054-1633
(620) 723-2127
(620) 723-1037
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-02417
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004727620001
—
KS
Enumeration date
05/20/2020
Last updated
08/26/2022
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