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Individual

CHRISTY J JANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1301 W 12TH AVE, EMPORIA, KS 66801-2587
(620) 343-2900
Mailing address
1301 W 12TH AVE, EMPORIA, KS 66801-2587
(620) 343-2900

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0434074
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068002082
MEDICARE PTAN
KS
05
200663500A
KS
Enumeration date
06/27/2007
Last updated
01/19/2026
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