Healthcare Provider Details

I. General information

NPI: 1801827365
Provider Name (Legal Business Name): PATRICK J DELANO PA C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 W FIRST
SAINT FRANCIS KS
67756-1075
US

IV. Provider business mailing address

221 W FIRST PO BOX 1075
SAINT FRANCIS KS
67756-1075
US

V. Phone/Fax

Practice location:
  • Phone: 785-332-2682
  • Fax: 785-332-2516
Mailing address:
  • Phone: 785-332-2682
  • Fax: 785-332-2516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number15-00319
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: