Individual
MARCIE A PELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
901 SW GARFIELD AVE, TOPEKA, KS 66606-1670
(785) 354-9591
(785) 368-0723
Mailing address
901 SW GARFIELD AVE, TOPEKA, KS 66606-1670
(785) 354-9591
(785) 368-0723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01546
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002198
MEDICARE PTAN
KS
05
—
200963840A
—
KS
Enumeration date
08/08/2012
Last updated
06/02/2015
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