Provider Demographics
NPI:1437490034
Name:MILLION, HOLLEY CHRISTINE (PA)
Entity Type:Individual
Prefix:MRS
First Name:HOLLEY
Middle Name:CHRISTINE
Last Name:MILLION
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 S BROADWAY ST
Mailing Address - Street 2:SUITE 730
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67202-4227
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:105 S BROADWAY ST
Practice Address - Street 2:SUITE 730
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-4227
Practice Address - Country:US
Practice Address - Phone:316-393-9933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS15-00903363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical