Individual
REBEKAH J MANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
220 N PENNSYLVANIA AVE, COLUMBUS, KS 66725-1110
(620) 429-2545
Mailing address
3 2200TH ST, HUMBOLDT, KS 66748-1592
(620) 431-6837
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
KS0855
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100447010C
—
KS
Enumeration date
07/14/2006
Last updated
04/15/2022
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