| Paul Halderson, | |
|
750 W D Ave, Kingman, KS 67068-1266 | |
| (620) 532-3147 | |
| (620) 532-0167 |
| Full Name | Paul Halderson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 750 W D Ave, Kingman, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649671710 | NPI | - | NPPES |
| 30003916630001 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15-01738 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Halderson, 750 W D Ave, Kingman, KS 67068-1266 Ph: (620) 532-3147 | Paul Halderson, 750 W D Ave, Kingman, KS 67068-1266 Ph: (620) 532-3147 |
Tyler J Antenen, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-483-0002 | |
Mr. Jeffery Leonard Henderson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 701 E A Ave, Kingman, KS 67068 Phone: 620-532-5145 Fax: 620-532-2586 | |
Dennis Kalmar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-483-0002 | |
Mr. Carl Lee Green, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-3147 | |
Kathryn A Kimpler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 E A Ave, Kingman, KS 67068 Phone: 620-532-5145 Fax: 620-532-2478 | |
Mr. Leroy E Shugart, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-3147 Fax: 620-532-3147 |