Individual
ELYSE ANN JABLONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
315 W 15TH ST, LIBERAL, KS 67901-2455
(620) 629-6477
(620) 629-6651
Mailing address
1684 S LOGAN PASS, ANDOVER, KS 67002-7914
(316) 587-5334
(620) 629-6684
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1502133
KS
Other
Enumeration date
09/13/2018
Last updated
06/08/2021
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