| Provider / Organization | NPI | Date Certified |
|---|---|---|
| EMILY CONKLIN | 1912561135 | 2024-04-05 |
Emily Lowry [F] graduated in 2018 and primarily specializes in Physician Assistant.
Emily Conklin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912561135. Registration indicates Emily Conklin is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 4587907423 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Emily Conklin PA |
| Other Provider Name | Emily Hutcheson |
| Practice Office Address | 3800 S NATIONAL AVE SPRINGFIELD, MO US |
| Practice Office Telephone | 4178753845 |
| Mailing Address | PO BOX 9007 SPRINGFIELD, MO 658089007 US |
| Business Telephone | 4178753846 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 2019011713
MO |
| 1912561135 | MEDICAID | MO |