Individual
SHEILA S TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 W 8TH ST, ONAGA, KS 66521-9574
(785) 889-4274
(785) 889-4714
Mailing address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-5470
(785) 354-5475
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01278
KS
363A00000X
Physician Assistant
T-02244
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200573130A
—
KS
01
—
P00652572
RAILROAD MEDICARE
KS
Enumeration date
09/19/2008
Last updated
10/29/2020
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