Amy L Bornholdt in Wichita - Physician Assistant

Amy L Bornholdt - NPI 1265422752

Amy L Bornholdt is a Physician Assistant in Wichita, Kansas. Amy L Bornholdt practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Amy L Bornholdt is 1265422752. The last update date is 2021-08-03.

Amy L Bornholdt's current location address is 310 S Hillside St, Wichita, Kansas. You can contact this provider via phone number 3162643505 and fax number 3162640908. The mailing address for Amy L Bornholdt is 310 S Hillside St, Wichita, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Amy L Bornholdt
Address 310 S Hillside St, Wichita, Kansas
Phone Number 3162643505
Fax Number 3162640908
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1265422752
Provider Enumeration Date 2005-10-26
Last Updated Date 2021-08-03

Provider Mailing Address Detail

Address 310 S Hillside St
City Wichita
State Kansas (KS)
Post Code 672112129
Phone Number 3162643505
Fax Number 3162640908

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 15-01037
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Amy L Bornholdt

What is the unique provider identifier assigned to Amy L Bornholdt?

The Amy L Bornholdt has been issued the NPI (National Provider Identifier) 1265422752 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Amy L Bornholdt is physically located?

The Amy L Bornholdt is situated at the following address: 310 S Hillside St, Wichita, KS 672112129.

What is Amy L Bornholdt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Amy L Bornholdt is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

When did the Amy L Bornholdt receive its 1265422752?

The Amy L Bornholdt was issued its 1265422752 on 2005-10-26, which is the date when the organization was assigned this unique identifier.

When was the Amy L Bornholdt's information last updated?

The Amy L Bornholdt's information was last updated on 2021-08-03.

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