Individual
CHRISTOPHER RAY THIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 E 23RD AVE, HUTCHINSON, KS 67502-9907
(620) 513-4850
(620) 513-4851
Mailing address
936 N REDBUD CT, VALLEY CENTER, KS 67147-3215
(785) 512-0248
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02652
KS
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/07/2022
Last updated
06/24/2024
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