Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA A CHILDRESS, PA-C
ActiveLISA A CHILDRESS, PA-C is a Surgical Physician Assistant healthcare provider located in ATCHISON, Kansas. NPI 1659692176 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · ATCHISON, KS
Registration Details
- NPI Number
- 1659692176
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2010 (16.175532419851 yrs)
- Last Updated
- Feb 22, 2013
- Licenses
-
10735 (MN)15-01594 (KS)
Practice Information
- Address
-
820 RAVENHILL DRSUITE 107ATCHISON, KS, 660029268Browse KS providers · Browse ZIP 66002
- Phone
- 9133675496
- Fax
- 9136742039
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.