Individual
MR. JOHN F LINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
444 FOUR STATES DR STE 1, GALENA, KS 66739-4325
(620) 783-4441
Mailing address
444 FOUR STATES DR STE 1, GALENA, KS 66739-4325
(620) 783-4441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02088
KS
363A00000X
Physician Assistant
804
OK
363A00000X
Physician Assistant
PA804
OK
Other
Enumeration date
08/29/2005
Last updated
11/30/2022
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