Albert John Cannata P.A.

NPI 1871563924 - Physician Assistant - 363A00000X

NPI Details
NPI 1871563924
Gender Male
Enumeration Date 01/23/2006
Last Updated 10/20/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1947 FOUNDERS' CIRCLE DRIVE
WICHITA KS, 67206, US
Phone (316) 613-4640
Fax (316) 613-4739
Business Location
PO BOX 8035
WICHITA KS, 67208-0035, US
Phone (316) 689-9940
Fax (316) 689-9115
Toxanomy
Taxonomy Code 363A00000X
License State Kansas
License Number 15-00158
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According to our database, Albert John Cannata P.A. NPI is 1871563924, taxonomy code is 363A00000X and license number is 15-00158, license state is located at Kansas. Albert John Cannata P.A. physically located at 1947 Founders' Circle Drive, Wichita KS, 67206. NPI Number Albert John Cannata P.A. has the Individual type.

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1871563924 NPI number is provided on an as is basis without warranty of any kind. 1871563924 is maintained by the National Plan & Provider Enumeration System. The contents of Albert John Cannata P.A. are for informational purposes only.