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NPI Code Detail

MEDICARE: KATHERINE A EDMONDS PA-C

MEDICARE: KATHERINE A EDMONDS 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 Assistant15-00977KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2427153OTHERKSMEDICARE PTAN

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 : 1790750578
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE A EDMONDS PA-C
Provider Business Mailing Address
First Line : 901 SW GARFIELD AVE
Second Line :
City : TOPEKA
State : KS
Zip : 66606-1670
Country : US
Telephone Number : 785-354-9591
Fax Number : 785-368-0714
Provider Business Practice Location Address
First Line : 901 SW GARFIELD AVE
Second Line :
City : TOPEKA
State : KS
Zip : 66606-1670
Country : US
Telephone Number : 785-354-9591
Fax Number : 785-368-0714
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 11/24/2015

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Directions to “ KATHERINE A EDMONDS PA-C” Practice Location

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