Unknown Individual – Physician Assistant, NPI 1528019643
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Dwight D. Eisenhower VA Medical Center, 4101, South 4th Street, Wadsworth, Leavenworth, Leavenworth County, Kansas, 66048, United States
LEAVENWORTH, KS 660485014
Phone: (913) 682-2000
Fax: (913) 758-4119
Type: Location
2922, Virginia Circle, Leavenworth, Leavenworth County, Kansas, 66048, United States
LEAVENWORTH, KS 660484789
Phone: (913) 682-2000
Fax: (913) 758-4119
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66048)
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