Individual
MRS. JILL ANN POOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6610 SE QUAKERVALE RD, RIVERTON, KS 66770-4185
(620) 848-2300
(620) 848-2301
Mailing address
6610 SE QUAKERVALE RD, RIVERTON, KS 66770-4185
(620) 848-2300
(620) 848-2301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01209
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200535880C
—
KS
Enumeration date
11/02/2007
Last updated
11/13/2013
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