Individual
MS. SARA A HILDRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9415 E HARRY ST STE 202, WICHITA, KS 67207-5076
(316) 691-0309
(316) 691-0881
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9667
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01433
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719269
MEDICARE
—
05
—
200688210B
—
KS
01
—
P01213883
RR MEDICARE
—
Enumeration date
10/19/2010
Last updated
03/17/2018
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