Manry, Jenny A

Manry, Jenny A is an individual health care provider with primary practice located at 3520 Lakin Ave Suite 103, Great Bend KS 67530-3646. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Manry, Jenny A can be contacted via phone (620) 792-3345.

Contact Information

Primary practice address
3520 Lakin Ave Suite 103 Great Bend KS 67530-3646
Fax: (620) 792-3767
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 45344 Kansas

Profile Details

NPI number 1568415396
LBN Legal business name Manry, Jenny A
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 30th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568415396 NPPES
Kansas MEDICAID 200001980A

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