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Contact Information

NIKOLAS D FORD, PA
1911 N WEBB RD
WICHITA, KS67206-3405
 Phone: 316-682-7546
 Fax: 316-682-7554
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for NIKOLAS D FORD · (Male)

NPI Number 1326156381
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/29/2006
Last updated 09/15/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 15-01151
  • KS Medicaid 200423310B
  • KS Other P00606972 PALMETTO (RRMC)
Hospital affiliation(s)
  • GREENWOOD COUNTY HOSPITAL - (Critical Access)
    100 W 16TH STREET
    EUREKA, KS 67045
  • ST LUKE HOSPITAL & LIVING CENTER - (Critical Access)
    535 SOUTH FREEBRON
    MARION, KS 66861
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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