Individual provider · Type 1 NPI

Jerrod A. Conkling, P.A.

Surgical Physician Assistant · Wichita, KS

NPI number 1114950706 Active

Practice location

3223 N Webb Rd, Suite 1
Wichita, KS 67226-8175

Fax (316) 609-2800

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X15-01039 (KS)

Surgical Physician Assistant: Definition to come...

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About NPI 1114950706

Jerrod A. Conkling, P.A.'s National Provider Identifier is 1114950706, issued on Jul 8, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wichita, KS. The record was last updated on Jan 21, 2015.