-- TYLER J ANTENEN -- P.A.-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1104377647- Provider Type
- Individual Provider (NPI-1)
- Credentials
- P.A.-C
- Status
- Active
Contact & Location
- Address
- 750 W D AVE, KINGMAN, KS, 670681266
- Phone
- (620) 532-0295
- Fax
- (855) 483-0002
Specialties & Taxonomies
Physician Assistant
Primary License: KS #1501947