Avery, Brenda

Avery, Brenda is an individual health care provider with primary practice located at 1133 College Ave Bldg E Suite 140, Manhattan KS 66502-2770. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Avery, Brenda can be contacted via phone (785) 539-2500.

Contact Information

Primary practice address
1133 College Ave Bldg E Suite 140 Manhattan KS 66502-2770
Phone: (785) 539-2500
Fax: (785) 539-2225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 100917 Kansas

Profile Details

NPI number 1619953809
LBN Legal business name Avery, Brenda
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Sep 21st, 2015 - about 11 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 1619953809 NPPES
Kansas Other 042107 BCBS OF KANSAS

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