Individual provider · Type 1 NPI
Lisa A. Childress, PA-C
Surgical Physician Assistant · Atchison, KS
NPI number
1659692176
Active
Practice location
820 Ravenhill Dr, Suite 107
Atchison, KS 66002-9268
Fax (913) 674-2039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 10735 (MN) |
| Surgical Physician Assistant Primary | 363AS0400X | 15-01594 (KS) |
Surgical Physician Assistant: Definition to come...
4 other providers at this address
- Amberwell Atchison AssociationOccupational Medicine Physician Atchison, KS NPI 1609244508
- Orthopedic & Sports Medicine Center LLCSpecialist Atchison, KS NPI 1235227885
- Brandon Oneal Pokrandt, ATC, LATAthletic Trainer Atchison, KS NPI 1114521150
- Jennifer Diane Brockhoff, ATC, CPTAAthletic Trainer Atchison, KS NPI 1205388717
About NPI 1659692176
Lisa A. Childress, PA-C's National Provider Identifier is 1659692176, issued on Jun 18, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Atchison, KS. The record was last updated on Feb 22, 2013.