Childress, Lisa A

Childress, Lisa A is an individual health care provider with primary practice located at 820 Ravenhill Dr Suite 107, Atchison KS 66002-9268. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Childress, Lisa A can be contacted via phone (913) 367-5496.

Contact Information

Primary practice address
820 Ravenhill Dr Suite 107 Atchison KS 66002-9268
Phone: (913) 367-5496
Fax: (913) 674-2039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10735 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 15-01594 Kansas

Profile Details

NPI number 1659692176
LBN Legal business name Childress, Lisa A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2010
Last updated Feb 22nd, 2013 - about 12 years 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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