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NPI Profile for CONSTANCE P ACKER in PARK CITY, KS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI Number | 1366418451 |
|
| Status | Active | |
| Credentials | PHYSICIAN ASSISTANT | |
| Entity | Individual | |
| Enumeration date | 02/27/2006 | |
| Last updated | 02/19/2014 - About 12 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CONSTANCE P ACKER
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CONSTANCE P ACKER, PHYSICIAN ASSISTANT