Individual
DON NEBELUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
609 LIBERTY ST, CLAY CENTER, KS 67432-1564
(785) 632-2181
(785) 632-2309
Mailing address
609 LIBERTY ST, CLAY CENTER, KS 67432-1564
(785) 632-2181
(785) 632-2309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00446
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035313
MEDICARE
KS
05
—
200006390A
—
KS
Enumeration date
05/24/2005
Last updated
05/26/2010
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