Individual
MRS. BRIDGETTE K POCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
308 E CENTRAL AVE, ANDOVER, KS 67002-8897
(316) 733-1331
(316) 733-6846
Mailing address
308 E CENTRAL AVE, ANDOVER, KS 67002-8897
(316) 733-1331
(316) 733-6846
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-00773
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KS
Enumeration date
05/16/2006
Last updated
05/11/2016
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