| Doctor Name: | MRS. MALISSA KAY PAXTON |
| NPI Number: | 1144321902 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPAC |
| License Number: | 15-00798 |
| Business Practice Address: | 606 Mulberry Rd Derby, KS - 670373532 |
| Business Phone Number: | 3167883787 |
| Business Fax Number: | 3167886930 |
| Mailing Address: | 1305 Parkwood Ct, DERBY |
| State: | KS |
| Postal Code: | 670378897 |
| Phone Number: | 3167890240 |
| 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: | 15-00798 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |