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NPI Code Detail

MEDICARE: MINDY JO KOBBEMAN PA-C

MEDICARE: MINDY JO KOBBEMAN 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 Assistant15-01626KS

General Provider Information

NPI Number : 1164856613
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINDY JO KOBBEMAN PA-C
Provider Business Mailing Address
First Line : 10346 E STONEGATE LN STE 100
Second Line :
City : WICHITA
State : KS
Zip : 67206-2054
Country : US
Telephone Number :
Fax Number : 833-903-3589
Provider Business Practice Location Address
First Line : 10346 E STONEGATE LN STE 100
Second Line :
City : WICHITA
State : KS
Zip : 67206-2054
Country : US
Telephone Number : 316-871-0995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2013
Last Update Date : 03/18/2026

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Directions to “ MINDY JO KOBBEMAN PA-C” Practice Location

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