Individual
JANETTE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1030 MOUND ST, ATCHISON, KS 66002-1640
(913) 215-3753
Mailing address
1030 MOUND ST, ATCHISON, KS 66002-1640
(913) 215-3753
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
230028
KS
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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