Individual provider · Type 1 NPI

Autumn Raven Wheeler, PA-C

Medical Physician Assistant · Wichita, KS

NPI number 1407650724 Active

Practice location

5500 E Kellogg Dr
Wichita, KS 67218-1607

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X15-03146 (KS)

Medical Physician Assistant: Definition to come...

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About NPI 1407650724

Autumn Raven Wheeler, PA-C's National Provider Identifier is 1407650724, issued on Apr 3, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wichita, KS. The record was last updated on Apr 29, 2026.