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Individual

DENNIS L SEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1100 HIGHLAND DRIVE, CONCORDIA, KS 66901
(785) 243-1234
(785) 243-8411
Mailing address
1100 HIGHLAND DRIVE, CONCORDIA, KS 66901
(785) 243-1234
(785) 243-8411

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00691
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12311
PREFERED HEALTH WICHITA
KS
05
200006380A
KS
05
200006380B
KS
05
200006380F
KS
01
427053
ABILENE BCBS
KS
Enumeration date
05/24/2005
Last updated
03/18/2020
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