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NPI Code Detail

MEDICARE: MS. DEANENE K TONN PA-C

MEDICARE: MS. DEANENE K TONN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant15-00643KS

General Provider Information

NPI Number : 1134124829
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEANENE K TONN PA-C
Provider Business Mailing Address
First Line : 10090 E SHANNON WOODS CIR
Second Line :
City : WICHITA
State : KS
Zip : 67226-4107
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10090 E SHANNON WOODS CIR
Second Line :
City : WICHITA
State : KS
Zip : 67226-4107
Country : US
Telephone Number : 316-684-2838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 09/03/2025

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