NPI 1124129911 MR. EDWIN LYSLE PRICE RPAC DERBY KS. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Edwin Lysle Price - NPI: 1124129911

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. EDWIN LYSLE PRICE
NPI Number: 1124129911
Entity Type Code: Individual (1)
Gender: M
Credentials: RPAC
License Number: 15-00248
Business Practice Address: 606 Mulberry Rd
Derby, KS - 670373532
Business Phone Number: 3167883787
Business Fax Number: 3167886930
Mailing Address: 1725 Tiara Pines Dr,
DERBY
State: KS
Postal Code: 670373933
Phone Number: 3167885369
Fax Number:
NPI Enumeration Date: 09/26/2006
NPI Last Update Date: 07/19/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363AM0700X
License Number: 15-00248
Healthcare Provider Taxonomy:
(Secondary)
Y
State: KS
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Physician Assistant
Taxonomy Specialization: Medical
Taxonomy Definition:


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