Individual
JENNA KAY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
906 MCKINLEY ST, GREAT BEND, KS 67530-4720
(620) 793-6990
(620) 793-3040
Mailing address
252 W 9TH ST, HOISINGTON, KS 67544-1725
(620) 653-2386
(620) 653-4186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02250
KS
Other
Enumeration date
05/29/2019
Last updated
03/02/2023
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