Individual provider Active NPI

Ralph Nmi Kauley Jr., PA-C

  • Medical Physician Assistant
  • Wichita Falls, TX
National Provider Identifier
1700900511
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA02483 Issued in TX
Practice address
5420 Kell West Blvd
Kell West Regional Hospital
Wichita Falls, TX 76310
Phone
(940) 692-5888
Fax
(940) 691-4071
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA02483 TX Primary

Addresses

Primary practice location

5420 Kell West Blvd
Kell West Regional Hospital
Wichita Falls, TX 76310

Mailing address

5136 Air Force Dr
Wichita Falls, TX 76306-1356
Phone (940) 851-0134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA02483TXMDMedical Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700900511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5136 AIR FORCE DR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763061356",
            "telephone_number": "940-851-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 KELL WEST BLVD",
            "address_2": "KELL WEST REGIONAL HOSPITAL",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "76310",
            "telephone_number": "940-692-5888",
            "fax_number": "940-691-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAULEY",
        "first_name": "RALPH",
        "middle_name": "NMI",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.