CAYLEE LYNNE KIDWELL (NPI# 1982262085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982262085 |
| Entity Type | Individual |
| Full Name | CAYLEE LYNNE KIDWELL |
| Practice Address |
1514 State Road 96 Great Bend KS 67530-3012 |
| Practice Telephone | 6207924383 |
| Practice Fax Number | 6207922169 |
| Mailing Telephone | 6207924383 |
| Mailing Fax Number | 6207922169 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2020-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 15-02284 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1514 STATE ROAD 96 |
| City | GREAT BEND |
| State | KS |
| Zip Code | 67530-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
| 1972113678 | Sarah Schenek | Counselor | 1819 11th Street, Great Bend, KS 67530 | 2020-08-06 |
| 1407471840 | Joanne Renee Wondra | Counselor | 801 Patton Road, Great Bend, KS 67530 | 2020-06-11 |
| 1144852302 | Rosenberg Dentistry: Joe Rosenberg Dds. Pa | Dentist | 1037 Sheridan Suite D, Great Bend, KS 67530 | 2020-02-06 |
| 1265895908 | Kayti Trapp | Physical Therapy Assistant | 1514 Ks-96 Hwy, Great Bend, KS 67530 | 2016-03-31 |
| 1083732069 | Drew Andrew Hosman Sr. | Counselor | 1105 Main St Ste D, Great Bend, KS 67530 | 2007-03-27 |
| 1912060435 | Larry G Kutina | Dentist | 3820 6th Street, Great Bend, KS 67530 | 2006-12-18 |
| 1144308883 | Hcc-healthcare of Great Bend, LLC | Skilled Nursing Facility | 1560 K96 Highway, Great Bend, KS 67530 | 2006-11-01 |
| 1841370699 | Edward Lake Jones | Pathology | 2001 Lincoln, Great Bend, KS 67530 | 2006-10-16 |
| 1407955529 | William G Hafner | Chiropractor | 1309 Williams St., Great Bend, KS 67530 | 2006-09-22 |
| Find all providers in zip 67530 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447811823 | Elisabeth Breann Hinkle | Physician Assistant | 3800 10th St, Great Bend, KS 67530-3549 | 2019-06-26 |
| 1104896992 | Charise R Oelger | Physician Assistant | 3520 Lakin Ave, Ste 103, Great Bend, KS 67530-3660 | 2006-01-24 |
| 1518369172 | Ashley Yvonne Boxberger | Physician Assistant | 1514 K 96 Hwy, Great Bend, KS 67530-3012 | 2014-09-25 |
| 1609200088 | Ashley Rae Vonada | Physician Assistant | 514 Cleveland St, Great Bend, KS 67530-3562 | 2013-08-21 |
| 1366752909 | Kristin Layne Babcock | Physician Assistant | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2010-10-18 |
| 1376593947 | Jeanne L Habash | Physician Assistant | 3515 Broadway Ave, Suite 107, Great Bend, KS 67530-3633 | 2006-05-12 |
| 1194774901 | Edmond Habash | Physician Assistant | 3515 Broadway Ave, Suite 107, Great Bend, KS 67530-3633 | 2006-05-09 |
| 1801869672 | Lori M. Williams | Physician Assistant | 204 Cleveland St, Great Bend, KS 67530-3563 | 2006-02-10 |
| 1336119056 | Julie K West | Physician Assistant | 204 Cleveland St, Great Bend, KS 67530 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567783 | Shelby Stewart | Physician Assistant | 1409 Washington Cir, Hays, KS 67601-4716 | 2020-10-27 |
| 1154935724 | Kendra Elizabeth Rogers | Physician Assistant | 8111 Quivira Rd Apt 12106, Lenexa, KS 66215-2772 | 2020-09-01 |
| 1962020024 | Cody Allen Miller | Physician Assistant | 7201 W 80th St Apt 602, Overland Park, KS 66204-3773 | 2020-07-06 |
| 1881210417 | Jordan Rachelle Haya | Physician Assistant | 607 Prairie Ave, Maple Hill, KS 66507-9808 | 2020-06-19 |
| 1881219483 | Sheila Mwadime | Physician Assistant | 10245 Millstone Dr Apt 7110, Lenexa, KS 66220-2711 | 2020-06-10 |
| 1871116582 | Alia Porter | Physician Assistant | 115 N Terrace Dr, Wichita, KS 67208-3941 | 2020-05-28 |
| 1881217594 | Taylor Nicole Wondra | Physician Assistant | 1845 N Woodrow Ct, Wichita, KS 67203-2959 | 2020-05-28 |
| 1194348706 | Andrew John Lopata | Physician Assistant | 1315 N Walnut St, Mcpherson, KS 67460-2434 | 2020-05-19 |
| 1497378087 | Haley Nicole Northcutt | Physician Assistant | 10107 W Jamesburg St, Wichita, KS 67212-6743 | 2020-05-18 |
| 1033731674 | Sydnee Rose Eck | Physician Assistant | 345 Sevy, Andale, KS 67001-4003 | 2020-05-16 |
| Find all providers with the same taxonomy | ||||
| City | GREAT BEND |
| Zip Code | 67530 |
Please comment or provide details below to improve the information on CAYLEE LYNNE KIDWELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.