NPI 1104830652 · live from the CMS NPI Registry
Deborah L. Aldridge, P.A.
Physician Assistant in Olathe, KS. National Provider Identifier 1104830652, active.
NPI record
| NPI | 1104830652 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1803 S Ridgeview Rd, Olathe, KS 66062 |
| Practice phone | 913-829-0505 |
| Mailing address | Po Box 741331, Atlanta, GA 30374 |
| Enumerated | July 28, 2006 |
| Last updated | January 4, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 15-00612 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.