Individual provider · Type 1 NPI
Elaine M, Coulson, PHYSICIAN ASSISTANT
Medical Physician Assistant · Wichita, KS
NPI number
1710904255
Active
Practice location
9415 E. Harry, Bldg 800
Wichita, KS 67207
Fax (316) 686-6764
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 1338469061 (KS) |
| Medical Physician Assistant Primary | 363AM0700X | 1500532 (KS) |
Medical Physician Assistant: Definition to come...
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About NPI 1710904255
Elaine M, Coulson, PHYSICIAN ASSISTANT's National Provider Identifier is 1710904255, issued on Jul 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wichita, KS. The record was last updated on Aug 10, 2011.