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NPI Code Detail

MEDICARE: TAYLOR WOLF

MEDICARE: TAYLOR WOLF
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 Assistant

General Provider Information

NPI Number : 1346187176
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR WOLF
Provider Business Mailing Address
First Line : 111 N CARDINAL ST
Second Line :
City : WICHITA
State : KS
Zip : 67230-7002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1310 RESEARCH PARK DR
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-5000
Country : US
Telephone Number : 785-532-1566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2026
Last Update Date : 06/09/2026

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Directions to “ TAYLOR WOLF ” Practice Location

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