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Contact Information

GINA M WESTHOFF, PA
3515 BROADWAY AVE
GREAT BEND, KS67530-3633
 Phone: 620-792-2511
 Fax: 620-792-3767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GINA M WESTHOFF · (Female)

NPI Number 1215967849
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/03/2006
Last updated 06/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 0425245
  • KS License # 15-00947
  • KS Medicaid 200300590A
  • Other 042053 BCBS
  • Other 659930 FIRST GUARD
Hospital affiliation(s)
  • GREAT BEND REGIONAL HOSPITAL - (Acute Care)
    514 CLEVELAND STREET
    GREAT BEND, KS 67530
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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