Individual
MARY C. TAKAISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
511 NE 10TH ST, ABILENE, KS 67410-2153
(785) 263-6661
(785) 263-6633
Mailing address
914 HIGHLAND AVE, SALINA, KS 67401-5040
(785) 764-9140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
T00779
KS
Other
Enumeration date
08/10/2006
Last updated
04/08/2021
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