Individual
HALLIE R THEOBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
921 E HIGHWAY 36, SMITH CENTER, KS 66967-9582
(785) 282-6845
(785) 282-6331
Mailing address
PO BOX 349, SMITH CENTER, KS 66967-0349
(785) 282-6845
(785) 282-6331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02462
KS
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/06/2021
Last updated
12/04/2024
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