Individual
MISTY R CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4930 OVERLAND DR, LAWRENCE, KS 66049-4132
(785) 856-0708
(785) 856-0709
Mailing address
4930 OVERLAND DR, LAWRENCE, KS 66049-4132
(785) 856-0708
(785) 856-0709
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1501369
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200686550A
—
KS
Enumeration date
02/22/2010
Last updated
02/04/2022
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