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Individual

VIRGINIA BAHRUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
6401 PATTERSON PKWY, ARKANSAS CITY, KS 67005-5701
(620) 442-2100
(620) 442-8945
Mailing address
6401 PATTERSON PKWY, ARKANSAS CITY, KS 67005-5701
(620) 442-2100
(620) 442-8945

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00410
KS
363AM0700X
Medical Physician Assistant
Primary
15-00410
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100643760A
KS
Enumeration date
03/21/2006
Last updated
04/06/2026
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