Bird, Aubrie R

Bird, Aubrie R is an individual health care provider with primary practice located at 4951 W 18Th St , Lawrence KS 66047-2090. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bird, Aubrie R can be contacted via phone (785) 832-2865.

Contact Information

Primary practice address
4951 W 18Th St Lawrence KS 66047-2090
Phone: (785) 832-2865
Fax: (785) 841-3129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 15-02884 Kansas

Profile Details

NPI number 1780454116
LBN Legal business name Bird, Aubrie R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2024
Last updated Jul 5th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780454116 NPPES
Kansas MEDICAID 30005090970001

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