Individual
ALPHIA TAGEN KINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2000
Mailing address
707 S BRISTOL CIR UNIT 58, WICHITA, KS 67207-4368
(316) 640-7091
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-01797
KS
363AM0700X
Medical Physician Assistant
2460
OK
Other
Enumeration date
04/13/2015
Last updated
12/05/2018
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