Most Relevant Information
Provider Data
| NPI Number: | 1003695842 |
| Provider Name: | HENRY COLLETT |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/21/2023 |
| Last Updated: | 07/08/2024 |
Provider Practice Location
650 HUEBNER RD
FORT RILEY
KS
664424030
Practice Location Phone/Fax
| Phone: | 3627785239 |
| Fax: |
Provider Mailing Location
650 HUEBNER RD
FORT RILEY
KS
664424030
Provider Mailing Phone/Fax
| Phone: | 7852407560 |
| Fax: |