Individual
MR. NATHANIEL ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1001 S. OHIO ST, SALINA, KS 67401
(785) 827-6453
(785) 823-1255
Mailing address
1001 S. OHIO ST, SALINA, KS 67401
(785) 827-6453
(785) 823-1255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01988
KS
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201198520A
—
KS
Enumeration date
03/31/2017
Last updated
03/18/2020
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