Unknown Individual – Physician Assistant, NPI 1235197955

Unknown Individual is a healthcare provider. based in Kingman, Kansas. specializing in Physician Assistant. They hold a License No. 1500763 (KS). The NPI Number for Unknown Individual is 1235197955

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1235197955
Phone
(620) 532-3101
Address
437 CEDAR ST
Deactivation Date
11 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 437, North Cedar Street, Kingman, Kingman County, Kansas, 67068, United States

    KINGMAN, KS 670681324

    Phone: (620) 532-3101

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67068)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1235197955.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Kingman, Kansas may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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