Individual
SARA ANN HLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
313 E FRANKLIN ST, LINCOLN, KS 67455-1751
(785) 524-4474
(785) 524-5320
Mailing address
PO BOX 467, LINCOLN, KS 67455-0467
(785) 524-4474
(785) 524-5320
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501346
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1501346
STATE LICENSE
KS
01
—
171360
MEDICARE OSCAR/ CERTIFICATION
KS
Enumeration date
10/05/2009
Last updated
06/12/2020
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