Individual
MR. JOHNATHAN A RODRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1415 N PENN AVE, INDEPENDENCE, KS 67301-2222
(620) 331-2400
(620) 331-0747
Mailing address
PO BOX 360, NEODESHA, KS 66757-0360
(620) 325-2611
(620) 325-8453
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
75249
KS
Other
Enumeration date
09/20/2010
Last updated
09/25/2024
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