Healthcare Provider Details

I. General information

NPI: 1013827195
Provider Name (Legal Business Name): D & A TESTING PROS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1702 MAIN ST
GREAT BEND KS
67530-2522
US

IV. Provider business mailing address

1702 MAIN ST
GREAT BEND KS
67530-2522
US

V. Phone/Fax

Practice location:
  • Phone: 620-603-6107
  • Fax: 620-603-6109
Mailing address:
  • Phone: 620-603-6107
  • Fax: 620-603-6109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RUTH ELLEN JOINER
Title or Position: OWNER/OPERATOR
Credential: REGISTERED NURSE
Phone: 620-603-6107