Individual
MR. COLBY P SHINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4722 W KELLOGG DR, WICHITA, KS 67209-2508
(316) 440-2565
Mailing address
3018 N ROCK BRIDGE ST, DERBY, KS 67037-8780
(316) 640-2791
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/21/2010
Last updated
07/02/2025
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