Individual
SEAN K CONROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
235 W VINE ST, DIGHTON, KS 67839-5089
(620) 397-5321
(620) 397-2823
Mailing address
PO BOX 969, DIGHTON, KS 67839-0969
(620) 397-5321
(620) 397-2823
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01390
KS
363A00000X
Physician Assistant
1592
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00862311
RR MEDICARE
KS
Enumeration date
07/14/2010
Last updated
09/18/2020
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