Individual
LEONARD S WEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
700 W. 13TH, HARPER, KS 67058-1401
(620) 896-7306
(620) 896-2084
Mailing address
700 W. 13TH, HARPER, KS 67058-1401
(620) 896-7324
(620) 896-7186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500465
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100388260A
—
KS
01
—
427148
MEDICARE
KS
Enumeration date
12/13/2005
Last updated
01/11/2010
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