IndividualActive
Lisa Childress, PA-C
NPI 1659692176 · Surgical Physician Assistant · Atchison, KS
Provider details
- NPI number
- 1659692176
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10735 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
820 Ravenhill Dr
Suite 107
Atchison, KS 66002-9268
Phone: (913) 367-5496
Fax: (913) 674-2039
Approximate (ZIP-level) locationGet directions
Mailing address
820 Ravenhill Dr
Atchison, KS 66002-9268
Registry dates
- Enumerated
- 2010-06-18
- Last updated
- 2013-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.