Individual
DR. JUSTIN LEE THELEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-2131
(913) 674-2040
Mailing address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-2131
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-46154
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16289099
PTAN
KS
05
—
200155980
—
MO
05
—
30004870690001
—
KS
Enumeration date
04/28/2019
Last updated
03/20/2026
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