Individual
MRS. AMANDA L REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
310 E COLLEGE DR, COLBY, KS 67701-3716
(785) 462-6184
(785) 460-1490
Mailing address
310 E COLLEGE DR, COLBY, KS 67701-3716
(785) 460-6184
(785) 460-1490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
T00131
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-01081
STATE LICENSE
KS
05
—
200347070L
—
KS
Enumeration date
09/13/2005
Last updated
05/23/2016
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