Individual
CAROLYN A BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
144 S HILLSIDE ST, WICHITA, KS 67211-2154
(316) 682-9900
(316) 682-0311
Mailing address
144 S HILLSIDE ST, WICHITA, KS 67211-2154
(316) 682-9900
(316) 682-0311
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-01092
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200355270A
—
KS
Enumeration date
02/14/2007
Last updated
02/11/2015
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