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General NPI Number Information
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NPI Number | 1316019458
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Entity Type | Individual
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Provider Name | KYLIE KRISTINE WITHAM PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 10/09/2009
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Provider Practice Location Address
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Address Line | 1923 N WEBB RD
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City | WICHITA
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State | KS
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Zip | 67206-3405
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Country | US
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Telephone | 316-630-9300
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Fax | 316-262-4887
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Provider Business Mailing Address
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Address Line | 1923 N WEBB RD
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City | WICHITA
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State | KS
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Zip | 67206-3405
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Country | US
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Telephone | 316-630-9300
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Fax | 316-262-4887
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 15-00877
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 15-00877
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License Number State | KS
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