Individual
STEPHEN CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1206 PACIFIC AVE, ATCHISON, KS 66002-2744
(913) 240-3351
Mailing address
1206 PACIFIC AVE, ATCHISON, KS 66002-2744
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
136021
KS
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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