Individual
MADISON NICOLE GARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9149 KENTON ST, LENEXA, KS 66227-2816
(913) 972-0241
Mailing address
8811 CRAIG DR, OVERLAND PARK, KS 66212-2917
(913) 972-0241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2021013330
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2019
Last updated
09/27/2021
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