Sean-Carlo Prolago in Wichita - Physician Assistant
Sean-Carlo Prolago - NPI 1619057791
Sean-Carlo Prolago is a Physician Assistant in Wichita, Kansas. Sean-Carlo Prolago practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sean-Carlo Prolago is 1619057791. The last update date is 2021-03-30.
Sean-Carlo Prolago's current location address is 4722 W Kellogg Dr, Wichita, Kansas. You can contact this provider via phone number 3164402565 and fax number 3164402750. The mailing address for Sean-Carlo Prolago is 4722 W Kellogg Dr, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sean-Carlo Prolago |
|---|---|
| Address | 4722 W Kellogg Dr, Wichita, Kansas |
| Phone Number | 3164402565 |
| Fax Number | 3164402750 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1619057791 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2021-03-30 |
Provider Mailing Address Detail
| Address | 4722 W Kellogg Dr |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672092508 |
| Phone Number | 3164402565 |
| Fax Number | 3164402750 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 15-00662 |
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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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Post Comment/ Review Below
Can you provide the Sean-Carlo Prolago's physical address?
The Sean-Carlo Prolago is physically located at 4722 W Kellogg Dr, in the city of Wichita, KS, with the postal code 672092508.
Could you please provide the complete street address where Sean-Carlo Prolago is physically located?
The Sean-Carlo Prolago is physically situated at the following address: 4722 W Kellogg Dr, Wichita, KS, 672092508.
What is Sean-Carlo Prolago's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sean-Carlo Prolago is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
As of what date were the Sean-Carlo Prolago's details last updated?
The information pertaining to the Sean-Carlo Prolago, including its address, specialty, and other details, was most recently updated on 2021-03-30.
As of what date were the details related to Sean-Carlo Prolago most recently updated or revised?
The information pertaining to Sean-Carlo Prolago, including its address, specialty, and other relevant details, was last updated or revised on 2021-03-30.