Individual provider · Type 1 NPI

Shawn C. Vredenburg, PA

Physician Assistant · Wichita, KS

NPI number 1194079277 Active

Practice location

3311 E Murdock St
Wichita, KS 67208-3054

Mailing address

1121 S Dodge Ave
Wichita, KS 67213-4436

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XT03473 (KS)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194079277

Shawn C. Vredenburg, PA's National Provider Identifier is 1194079277, issued on Oct 29, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wichita, KS. The record was last updated on Jul 18, 2025.