NPI 1114754199
Lyon County
Practice location
- Address
- 402 Commercial St # 108, Emporia, KS 66801-4082
- Phone
- (620) 343-4207
- Fax
- (620) 341-3481
- Mailing address
- 430 Commercial St, Emporia, KS 66801-4013
Authorised official
- Name
- Shane Alan Brunner
- Title
- Director
- Phone
- (620) 341-3468
Registered specialties
Bus
Primary
Registry record
- NPI
- 1114754199
- Entity type
- Organization
- NPI issued
- 16 Sep 2024
- Record last updated
- 16 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.