Individual
KIMBERLY TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
410 WOODFIELD DR, TONGANOXIE, KS 66086-5443
(785) 505-5400
(785) 505-5272
Mailing address
325 MAINE STREET, MSO LIBRARY, LAWRENCE, KS 66044
(785) 505-2988
(785) 505-5228
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-01697
KS
363AS0400X
Surgical Physician Assistant
1501697
KS
Other
Enumeration date
06/04/2014
Last updated
10/27/2023
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