Jo Anne Berry P.A.-C

NPI 1396756300 - Physician Assistant - 363AM0700X

NPI Details
NPI 1396756300
Gender Female
Enumeration Date 08/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
611 N MAIN ST
ELLINWOOD KS, 67526-1440, US
Phone (620) 564-3771
Fax (620) 564-2684
Business Location
605 N MAIN ST
ELLINWOOD KS, 67526-1440, US
Phone (620) 564-2548
Fax (620) 564-2491
Toxanomy
Taxonomy Code 363AM0700X
License State Kansas
License Number 1501016
Remove 1396756300 NPI Number
 

According to our database, Mrs. Jo Anne Berry P.A.-C NPI is 1396756300, taxonomy code is 363AM0700X and license number is 1501016, license state is located at Kansas. Jo Anne Berry P.A.-C physically located at 611 N Main St, Ellinwood KS, 67526-1440. NPI Number Jo Anne Berry P.A.-C has the Individual type.

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1396756300 NPI number is provided on an as is basis without warranty of any kind. 1396756300 is maintained by the National Plan & Provider Enumeration System. The contents of Jo Anne Berry P.A.-C are for informational purposes only.