Kliewer, Carolyn S

Kliewer, Carolyn S is an individual health care provider with primary practice located at 7570 W 21St St N Ste 1026D , Wichita KS 67205-1764. 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. Kliewer, Carolyn S can be contacted via phone (316) 729-6555.

Contact Information

Primary practice address
7570 W 21St St N Ste 1026D Wichita KS 67205-1764
Phone: (316) 729-6555
Fax: (316) 634-4794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-00792 Kansas

Profile Details

NPI number 1457355901
LBN Legal business name Kliewer, Carolyn S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Mar 22nd, 2018 - about 6 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 1457355901 NPPES
Kansas MEDICAID 100412780B

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