Individual
LISA CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
420 W 15TH AVE, EMPORIA, KS 66801-5367
(620) 251-2400
(620) 251-1619
Mailing address
1505 W 4TH ST, COFFEYVILLE, KS 67337-3307
(620) 251-2400
(620) 251-1619
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77645
KS
Other
Enumeration date
03/14/2017
Last updated
04/17/2018
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