Leonard S Wedman, RPA-C
Individual provider Active NPI Physician Assistant · Harper, KS
NPI 1730164872 · NPPES record last updated Jan 11, 2010
Key facts
- NPI
- 1730164872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1500465 (KS)
- Practice address
- 700 W. 13TH
Harper, KS 67058-1401 - Phone
- (620) 896-7306
- Fax
- (620) 896-2084
- NPI assigned
- Dec 13, 2005
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1500465 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Argonia | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1500465 | KS | Yes |
Addresses
Primary practice location
700 W. 13TH
Harper, KS 67058-1401
Mailing address
700 W. 13TH
Harper, KS 67058-1401
Phone (620) 896-7324
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 427148 | Other | KS | MEDICARE |
| 100388260A | Medicaid | KS |
Other providers in Harper, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2010. 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.