Individual
LESLYE DILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1625 E 30TH AVE, HUTCHINSON, KS 67502-1226
(888) 878-6881
(620) 728-0823
Mailing address
1625 E 30TH AVE, HUTCHINSON, KS 67502-1226
(888) 878-6881
(620) 728-0823
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500778
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042836
BLUE CROSS BLUE SHIELD
KS
05
—
100408690B
—
KS
01
—
448560
FIRST GUARD
KS
Enumeration date
04/25/2006
Last updated
09/03/2008
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