ANTHONY GUNAWAN

LAKIN, KS
NPI1811543531
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KS  15-02416)
Additional Taxonomies363A00000X Physician Assistant
(Licence: TX  PA12978)
Enumeration Date2019-08-18
Last Update Date2020-12-08
Business Address
ANTHONY GUNAWAN PA
500 E THORPE ST
LAKIN, KS 67860-9625
Phone number: 620-355-7111
Mailing Address
ANTHONY GUNAWAN PA
500 E THORPE ST
LAKIN, KS 67860-9625
Phone number: