Individual
HANNAH L ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2626 N WEBB RD, WICHITA, KS 67226-8110
(316) 636-6127
(316) 636-5813
Mailing address
2626 N WEBB RD, WICHITA, KS 67226-8110
(166) 366-1273
(316) 636-5813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02185
KS
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
01/11/2019
Last updated
06/05/2024
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