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NPI Code Detail

MEDICARE: BETHANY K VARDIMAN PA-C

MEDICARE: BETHANY K VARDIMAN 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 Assistant15-01088KS

General Provider Information

NPI Number : 1548293509
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETHANY K VARDIMAN PA-C
Provider Business Mailing Address
First Line : 6725 SW 29TH ST
Second Line :
City : TOPEKA
State : KS
Zip : 66614-5625
Country : US
Telephone Number : 785-354-0517
Fax Number : 785-478-1508
Provider Business Practice Location Address
First Line : 6725 SW 29TH ST
Second Line :
City : TOPEKA
State : KS
Zip : 66614-5625
Country : US
Telephone Number : 785-354-0517
Fax Number : 785-478-1508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 12/01/2025

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Directions to “ BETHANY K VARDIMAN PA-C” Practice Location

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