Barnes, Tori Lyn

Barnes, Tori Lyn is an individual health care provider with primary practice located at 7550 W Village Cir Ste 1 , Wichita KS 67205-9364. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Barnes, Tori Lyn can be contacted via phone (316) 838-2020.

Contact Information

Primary practice address
7550 W Village Cir Ste 1 Wichita KS 67205-9364
Phone: (316) 838-2020
Fax: (316) 838-7574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085004096 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-01934 Kansas

Profile Details

NPI number 1508176983
LBN Legal business name Barnes, Tori Lyn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2010
Last updated Mar 17th, 2018 - about 8 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 1508176983 NPPES
Illinois Other 085004096 ILLINOIS PHYSICIAN ASSISTANT LICENSE
Illinois MEDICAID 201141620A ILLINOIS PHYSICIAN ASSISTANT LICENSE
Illinois Other 50.003148 ILLINOIS PHYSICIAN ASSISTANT LICENSE

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