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NPI Code Detail

MEDICARE: VICKI LYNN WEBBER PA-C

MEDICARE:   VICKI LYNN WEBBER  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 Assistant1500489KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306973052
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKI LYNN WEBBER PA-C
Provider Business Mailing Address
First Line : 16538 W 159TH TER
Second Line :
City : OLATHE
State : KS
Zip : 66062-3924
Country : US
Telephone Number : 913-829-1660
Fax Number : 913-829-1770
Provider Business Practice Location Address
First Line : 16538 W 159TH TER
Second Line :
City : OLATHE
State : KS
Zip : 66062-3924
Country : US
Telephone Number : 913-829-1660
Fax Number : 913-829-1770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2007
Last Update Date : 08/13/2015

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Directions to “ VICKI LYNN WEBBER PA-C” Practice Location

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