Individual
CONNOR EVAN BLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2908 W 39TH ST STE D, KEARNEY, NE 68845-1245
(308) 455-8023
(308) 455-8024
Mailing address
603 N DIERS AVE STE 2, GRAND ISLAND, NE 68803-4987
(308) 398-1147
(308) 398-1149
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2505
NE
Other
Enumeration date
06/23/2020
Last updated
10/02/2020
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