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Mrs. AMY L BORNHOLDT PA

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1265422752
Provider Type
Individual Provider (NPI-1)
Credentials
PA
Status
Active

Contact & Location

Address
310 S HILLSIDE ST, WICHITA, KS, 672112129
Phone
(316) 264-3505
Fax
(316) 264-0908

Specialties & Taxonomies

Physician Assistant Primary License: KS #15-01037

All Addresses

MAILING

310 S HILLSIDE ST

WICHITA, KS, 672112129

(316) 264-3505

LOCATION

310 S HILLSIDE ST

WICHITA, KS, 672112129

(316) 264-3505