Carroll, Meghan Danelle

Carroll, Meghan Danelle is an individual health care provider with primary practice located at 3550 S 4Th St Ste B , Leavenworth KS 66048-5071. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Carroll, Meghan Danelle can be contacted via phone (913) 680-6200.

Contact Information

Primary practice address
3550 S 4Th St Ste B Leavenworth KS 66048-5071
Phone: (913) 680-6200
Fax: (913) 680-6348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06440 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X TX TEMPORARY Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 15-02415 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-02415 Kansas

Profile Details

NPI number 1952636516
LBN Legal business name Carroll, Meghan Danelle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2009
Last updated Feb 16th, 2022 - about 4 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 1952636516 NPPES
Kansas Other 15-02415 STATE LICENSE

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