Clemons, Felecia R

Clemons, Felecia R is an individual health care provider with primary practice located at 57950 Leavenworth St , Wichita KS 67221-3505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clemons, Felecia R can be contacted via phone (316) 759-6300.

Contact Information

Primary practice address
57950 Leavenworth St Wichita KS 67221-3505
Phone: (316) 759-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1396493326
LBN Legal business name Clemons, Felecia R
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2022
Last updated Mar 18th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396493326 NPPES
Georgia Other 056402011 TRICARE

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