Individual
MICHAEL B KINSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
830 SW MULVANE ST, TOPEKA, KS 66606-1654
(785) 270-8625
(785) 270-8624
Mailing address
830 SW MULVANE ST, TOPEKA, KS 66606-1654
(785) 270-8625
(785) 270-8624
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-00827
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100414580B
—
KS
05
—
100414580E
—
KS
01
—
P00630820
RR MEDICARE
KS
Enumeration date
03/01/2006
Last updated
10/21/2021
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