Individual provider · Type 1 NPI

Carl Lee Green, P.A.

Physician Assistant · Kingman, KS

NPI number 1619935335 Active

Practice location

750 W D Ave
Kingman, KS 67068-1266

Call (620) 532-3147 Map

Mailing address

1015 N Firefly Cir
Wichita, KS 67235-9437

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1500576 (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 1619935335

Carl Lee Green, P.A.'s National Provider Identifier is 1619935335, issued on May 2, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kingman, KS. The record was last updated on Jul 13, 2026.