Individual
STEPHANIE LYNN GRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1111 N BRADY ST, ABILENE, KS 67410-1804
(785) 263-4131
(785) 263-2774
Mailing address
1111 N BRADY ST, ABILENE, KS 67410-1804
(785) 263-4131
(785) 263-2774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01268
KS
Other
Enumeration date
10/05/2008
Last updated
12/23/2010
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