Individual
MRS. AMY ELIZABETH O'BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1947 N FOUNDERS CIR, WICHITA, KS 67206-3548
(316) 613-4640
(316) 689-9769
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9667
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01469
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200742920B
—
KS
Enumeration date
08/15/2011
Last updated
01/15/2014
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