Individual
KIMBERLY DARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7717 E 29TH ST N, WICHITA, KS 67226-3443
(316) 712-4970
(316) 462-0661
Mailing address
7717 E 29TH ST N, WICHITA, KS 67226-3443
(316) 712-4970
(316) 462-0661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00758
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100387730A
—
KS
01
—
116589
BCBS
KS
01
—
203456
HPK
KS
01
—
9469
PHS
KS
Enumeration date
08/11/2006
Last updated
12/30/2008
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