Individual
MS. SIMONE P CULVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1947 N FOUNDERS CIR, WICHITA, KS 67206-3548
(316) 613-4440
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
15-00664
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100345540C
—
KS
Enumeration date
07/14/2005
Last updated
03/01/2018
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