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NPI Code Detail

MEDICARE: MRS. LINDA KAY AVILA PA-C

MEDICARE: MRS. LINDA KAY AVILA 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 Assistant15-00909KS

General Provider Information

NPI Number : 1851398879
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA KAY AVILA PA-C
Provider Business Mailing Address
First Line : 2909 SE WALNUT DR
Second Line :
City : TOPEKA
State : KS
Zip : 66605-2189
Country : US
Telephone Number : 785-267-0744
Fax Number : 785-266-3490
Provider Business Practice Location Address
First Line : 2909 SE WALNUT DR
Second Line :
City : TOPEKA
State : KS
Zip : 66605-2189
Country : US
Telephone Number : 785-267-0744
Fax Number : 785-266-3490
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 11/03/2021

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Directions to “ MRS. LINDA KAY AVILA PA-C” Practice Location

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