Individual provider · Type 1 NPI

Mia Talley, PA-C

Physician Assistant · De Soto, KS

NPI number 1225855018 Active

Practice location

8960 Commerce Dr Ste 4E
De Soto, KS 66018-8431

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X15-02978 (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 1225855018

Mia Talley, PA-C's National Provider Identifier is 1225855018, issued on Sep 23, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in De Soto, KS. The record was last updated on Oct 14, 2025.