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NPI Code Detail

MEDICARE: CORWIN NOZARI PA-C

MEDICARE: CORWIN NOZARI 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 AssistantKS

General Provider Information

NPI Number : 1366031403
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORWIN NOZARI PA-C
Provider Business Mailing Address
First Line : 1701 E 23RD AVE
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-9907
Country : US
Telephone Number : 620-665-2000
Fax Number : 316-858-3201
Provider Business Practice Location Address
First Line : 12112 W KELLOGG ST
Second Line :
City : WICHITA
State : KS
Zip : 67235-1100
Country : US
Telephone Number : 316-630-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2021
Last Update Date : 03/17/2026

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Directions to “ CORWIN NOZARI PA-C” Practice Location

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