MEDICARE: MS. KAREN S WHEELER ARNP

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
1	207Q00000X	Family Medicine Physician	44775	KS
2	163W00000X	Registered Nurse	44775	KS
3	363L00000X	Nurse Practitioner	44775	KS

Other Identifiers

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

General Provider Information

NPI Number	:	1437154408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN S WHEELER ARNP

Provider Business Mailing Address
First Line	:	910 CORONADO DR
Second Line	:
City	:	HUTCHINSON
State	:	KS
Zip	:	67502-2258
Country	:	US
Telephone Number	:	620-259-7022
Fax Number	:	620-259-7029

Provider Business Practice Location Address
First Line	:	910 CORONADO DR
Second Line	:
City	:	HUTCHINSON
State	:	KS
Zip	:	67502-2258
Country	:	US
Telephone Number	:	620-259-7022
Fax Number	:	620-259-7029

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	06/02/2020

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