Individual
TAMI L WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 EAST PACK, MOUNDRIDGE, KS 67107
(620) 345-6322
(620) 345-3038
Mailing address
200 EAST PACK, MOUNDRIDGE, KS 67107-0640
(620) 345-6322
(620) 345-3038
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1500639
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042433
BLUE CROSS/BLUE SHIELD
KS
05
—
1001352320A
—
KS
01
—
13960
PREFERRED HEALTH SYSTEMS
KS
05
—
460687
—
KS
Enumeration date
06/16/2005
Last updated
07/09/2007
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