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NPI Code Detail

MEDICARE: AMBER D PLUMLEE PA-C, MPAS

MEDICARE: AMBER D PLUMLEE PA-C, MPAS
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 Assistant15-00736KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
115-00736OTHERKSLICENSE #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538133657
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER D PLUMLEE PA-C, MPAS
Provider Business Mailing Address
First Line : 3805 S YELLOW PINE AVE
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74011-1272
Country : US
Telephone Number : 402-980-8048
Fax Number :
Provider Business Practice Location Address
First Line : 505 N MAIN ST
Second Line :
City : ULYSSES
State : KS
Zip : 67880-2135
Country : US
Telephone Number : 620-356-1261
Fax Number : 620-356-3846
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 09/22/2010

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Directions to “ AMBER D PLUMLEE PA-C, MPAS” Practice Location

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