Individual
AUBRIE R BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4951 W 18TH ST, LAWRENCE, KS 66047-2090
(785) 832-2865
(785) 841-3129
Mailing address
4951 W 18TH ST, LAWRENCE, KS 66047-2090
(785) 832-2865
(785) 841-3129
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-02884
KS
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30005090970001
—
KS
Enumeration date
01/05/2024
Last updated
07/05/2024
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