Individual
MICHELLE KAY REDDEN
Active
Individual
MICHELLE KAY REDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-00592
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098120A
—
KS
05
—
100360770B
—
KS
Enumeration date
07/06/2006
Last updated
12/16/2019
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