Evans-Debeverly, Arlene

Evans-Debeverly, Arlene is an individual health care provider with primary practice located at 9300 E 29Th St N Ste 201, Wichita KS 67226-2183. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Evans-Debeverly, Arlene can be contacted via phone (316) 685-1277.

Contact Information

Primary practice address
9300 E 29Th St N Ste 201 Wichita KS 67226-2183
Fax: (316) 688-5208
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1500100 Kansas

Profile Details

NPI number 1376548123
LBN Legal business name Evans-Debeverly, Arlene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jan 18th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376548123 NPPES
Kansas MEDICAID 100344260B

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