Individual
CONNIE R WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7030 S BROADWAY ST, HAYSVILLE, KS 67060-1471
(316) 469-1099
(316) 469-1098
Mailing address
7030 S BROADWAY ST, HAYSVILLE, KS 67060-1471
(316) 469-1099
(316) 469-1098
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1600384
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200360660A
—
KS
Enumeration date
02/17/2006
Last updated
06/04/2009
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