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Individual

DR. SHANA JARMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
507 E 16TH ST STE 1, WELLINGTON, KS 67152-2828
(620) 326-3301
Mailing address
507 E 16TH ST STE 1, WELLINGTON, KS 67152-2828
(620) 326-3301

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0431417
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0431417
LICENSE
KS
01
106743
BCBS OF KANSAS
01
1255500633
NON RHC NPI CLINIC
KS
01
1437283991
GROUP NPI
01
15575
PREFERRED PLUS OF KANSAS
05
200371170C
KS
01
281367802
UNITED HEALTH CARE
01
324285
COVENTRY
01
792977001
CIGNA
01
9593105
AETNA
01
CS5682
RAILROAD MEDICARE
01
P00890504
MEDICARE RAILROAD PTAN
KS
Enumeration date
11/30/2006
Last updated
05/08/2020
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