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NPI Code Detail

MEDICARE: REBEKAH J MANAHAN PA-C

MEDICARE: REBEKAH J MANAHAN 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
1363AM0700XMedical Physician AssistantKS0855KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851317952
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH J MANAHAN PA-C
Provider Business Mailing Address
First Line : 3 2200TH ST
Second Line :
City : HUMBOLDT
State : KS
Zip : 66748-1592
Country : US
Telephone Number : 620-431-6837
Fax Number :
Provider Business Practice Location Address
First Line : 220 N PENNSYLVANIA AVE
Second Line :
City : COLUMBUS
State : KS
Zip : 66725-1110
Country : US
Telephone Number : 620-429-2545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 04/15/2022

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Directions to “ REBEKAH J MANAHAN PA-C” Practice Location

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