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Contact Information

BRENDA AVERY, PA
1133 COLLEGE AVE
BLDG E SUITE 140
MANHATTAN, KS66502-2770
 Phone: 785-539-2500
 Fax: 785-539-2225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRENDA AVERY · (Female)

NPI Number 1619953809
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/20/2005
Last updated 09/21/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 100917
  • KS Other 042107 BCBS OF KANSAS
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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