Individual
DR. JOHANNA H AGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1197
(620) 694-4194
(620) 694-2179
Mailing address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1197
(620) 669-2500
(620) 694-2179
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04-30666
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200263990C
—
KS
05
—
200263990P
—
KS
Enumeration date
01/06/2006
Last updated
08/19/2021
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