Kyle Frank Herspring, PA-C
Individual provider Active NPI Physician Assistant · Atwood, KS
NPI 1063729804 · NPPES record last updated Feb 7, 2014
Key facts
- NPI
- 1063729804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 15-01394 (KS)
- Practice address
- 707 Grant St
Atwood, KS 67730-1526 - Phone
- (785) 626-3211
- Fax
- (785) 626-3188
- NPI assigned
- Aug 31, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comcare, P.a. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-01394 | KS | Yes |
Addresses
Primary practice location
707 Grant St
Atwood, KS 67730-1526
Mailing address
707 Grant St
Atwood, KS 67730-1526
Phone (785) 626-3211
Other providers in Atwood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.