Kimberly Todd, PA-C
Physician Assistant, Medical in Tonganoxie, KS. Individual provider (NPI-1).
NPI number1982017182
StatusActive
Last updated in NPPESOct 27, 2023
Details
- NPI
- 1982017182
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Todd
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2014
- Certification date
- Oct 26, 2023
- Last updated
- Oct 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 15-01697 | KS | Yes |
| 363AS0400X | Physician Assistant, Surgical | 1501697 | KS |
Practice location
410 Woodfield DrTonganoxie, KS 66086-5443
Phone 785-505-5400 · Fax 785-505-5272
Mailing address
325 Maine StreetMso Library
Lawrence, KS 66044
Phone 785-505-2988 · Fax 785-505-5228
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