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Individual

ALICIA R CHENNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1101 N MAIN ST, MCPHERSON, KS 67460
(620) 504-5996
(888) 263-5552
Mailing address
1101 N MAIN ST, MCPHERSON, KS 67460-2845
(620) 504-5996
(888) 263-5552

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-36397
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201096280A
KS
Enumeration date
06/24/2011
Last updated
07/18/2022
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