JERROD A CONKLING, PA, Surgical WICHITA, KS

Contact Information

JERROD A CONKLING, PA

3223 N WEBB RD
SUITE 1
WICHITA, KS 67226-8175

Phone: 316-609-2600
Fax: 316-609-2800
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for JERROD A CONKLING · (Male)

NPI #	`1114950706`
Status	Active
Credentials	PA (Physician Assistant)
Entity	Individual
Enumeration date	07/08/2006
Last updated	01/21/2015 - About 11 years ago
Sole proprietor ¹	No
Identifiers	KS License # 15-01039 KS Medicaid 2003475208B
Hospital affiliation(s)	KANSAS SPINE HOSPITAL LLC - (Acute Care) 3333 NORTH WEBB ROAD WICHITA, KS 67226 VIA CHRISTI HOSPITALS WICHITA INC - (Acute Care) 929 NORTH ST FRANCIS STREET WICHITA, KS 67214 WESLEY MEDICAL CENTER - (Acute Care) 550 N HILLSIDE STREET WICHITA, KS 67214

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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JERROD A CONKLING, PA – NPI #1114950706Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for JERROD A CONKLING · (Male)

Reviews for JERROD A CONKLING

JERROD A CONKLING, PA – NPI #1114950706
Surgical