Individual
MR. ANDREW CONRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-8500
(316) 291-7993
Mailing address
PO BOX 1897, WICHITA, KS 67201-1897
(316) 268-8131
(316) 291-4788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02028
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201168090A
—
KS
Enumeration date
07/18/2017
Last updated
12/14/2017
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