person
Mr. Edwin Lysle Price, RPAC
Medical Physician Assistant in Derby, Kansas
NPI 1124129911

Edwin Lysle Price is a Medical Physician Assistant based in Derby, KS and is specialized in Medical. Edwin Lysle Price practices in Derby, KS and has the professional credentials of RPAC. The NPI Number for Edwin Lysle Price is 1124129911 and holds a License No. 15-00248 (Kansas).

The current practice location address for Edwin Lysle Price is 606 Mulberry Rd, Derby, KS and can be reached out via phone at 316-788-3787 and via fax at 316-788-6930.

Location: 606 Mulberry Rd, Derby, KS, 67037-3933
person
Provider Profile Details
NPI Number
1124129911
Provider Name
Edwin Lysle Price
Credential
RPAC
Provider Entity Type
Individual
Gender
Male
Address
606 Mulberry Rd, Derby, KS, 67037-3933
Phone Number
316-788-3787
Fax Number
316-788-6930
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15-00248 01 KS KS ST BOARD LICENSE
P00099501 01 KS RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
606 Mulberry Rd
City
State
Zip
67037-3532
Phone Number
316-788-3787
Fax Number
316-788-6930
person
Provider Business Mailing Address Details
Address
606 Mulberry Rd
City
State
Zip
67037-3532
Phone Number
316-788-3787
Fax Number
316-788-6930
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
15-00248 (Kansas)
Definition
Definition to come...
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