Individual
JENNY A MANRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
3520 LAKIN AVE, SUITE 103, GREAT BEND, KS 67530-3646
(620) 792-3345
(620) 792-3767
Mailing address
3520 LAKIN AVE, SUITE 103, GREAT BEND, KS 67530-3646
(620) 792-3345
(620) 792-3767
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45344
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200001980A
—
KS
Enumeration date
05/19/2006
Last updated
07/30/2009
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