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Contact Information

THE PLASTIC SURGERY CLINIC PA
1419 WESTPORT LANDING PL
SUITE 101
MANHATTAN, KS66502-2906
 Phone: 785-776-7500
 Fax: 785-770-8558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for THE PLASTIC SURGERY CLINIC PA · (Female)

NPI Number 1841486313
Status Active
Credentials
Entity Individual
Enumeration date 09/19/2007
Last updated 10/30/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • KS License # 04-23013
  • KS License # 04-28013
  • KS Medicaid 100396860A
  • KS Other 110967 MEDICARE
Hospital affiliation(s) Not Available
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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