Individual
TYLER MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5838 E CENTRAL AVE, WICHITA, KS 67208-4203
(316) 440-4594
Mailing address
1947 N FOUNDERS CIR, WICHITA, KS 67206-3548
(162) 744-6403
(613) 274-4704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02516
KS
Other
Enumeration date
01/11/2017
Last updated
07/02/2025
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