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NPI Code Detail

MEDICARE: RICHARD GREG KILE PA-C

MEDICARE: RICHARD GREG KILE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant15-00631KS

General Provider Information

NPI Number : 1184685638
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD GREG KILE PA-C
Provider Business Mailing Address
First Line : 3311 E MURDOCK ST
Second Line :
City : WICHITA
State : KS
Zip : 67208-3054
Country : US
Telephone Number : 316-274-8107
Fax Number : 316-274-8825
Provider Business Practice Location Address
First Line : 3311 E MURDOCK ST
Second Line :
City : WICHITA
State : KS
Zip : 67208-3054
Country : US
Telephone Number : 316-274-8107
Fax Number : 316-274-8825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 03/31/2025

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