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Individual

DR. PHYLLIS A RAGLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
1112 W 6TH ST, SUITE 112, LAWRENCE, KS 66044-2249
(785) 843-4202
(785) 843-7656
Mailing address
1112 W 6TH ST, SUITE 112, LAWRENCE, KS 66044-2249
(785) 843-4202
(785) 843-7656

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
12-00165
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006717
BCBS KS
KS
05
100226840A
KS
01
11545
PREFERRED HEALTH SYSTEMS
KS
01
165608
HEALTH LINK PPO
KS
01
20715012
BCBS KC MO
MO
01
2700021
UNITED HEALTH CARE
KS
01
362344
HEALTH LINK/PREFERRED CAR
KS
01
607320
FIRST GUARD
KS
Enumeration date
07/31/2006
Last updated
10/09/2011
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