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NPI Code Detail

MEDICARE: AMANDA MARY KLENDA PA-C

MEDICARE: AMANDA MARY KLENDA 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
1363AS0400XSurgical Physician Assistant15-02911KS

General Provider Information

NPI Number : 1467927764
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MARY KLENDA PA-C
Provider Business Mailing Address
First Line : 12068 E BRENTMOOR LN
Second Line :
City : WICHITA
State : KS
Zip : 67206-2867
Country : US
Telephone Number : 607-759-0105
Fax Number :
Provider Business Practice Location Address
First Line : 600 MEDICAL CENTER DR
Second Line :
City : NEWTON
State : KS
Zip : 67114-8780
Country : US
Telephone Number : 316-283-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2018
Last Update Date : 12/12/2025

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Directions to “ AMANDA MARY KLENDA PA-C” Practice Location

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