Individual
MISS TORI LYN BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7550 W VILLAGE CIR STE 1, WICHITA, KS 67205-9364
(316) 838-2020
(316) 838-7574
Mailing address
7550 W VILLAGE CIR STE 1, WICHITA, KS 67205-9364
(316) 838-2020
(316) 838-7574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085004096
IL
363A00000X
Physician Assistant
Primary
15-01934
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085004096
ILLINOIS PHYSICIAN ASSISTANT LICENSE
IL
05
—
201141620A
—
KS
01
—
50.003148
MEDICAL LICENSE NUMBER
OH
Enumeration date
10/19/2010
Last updated
03/17/2018
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