Tyler J Antenen, P.A.-C

NPI #1104377647 in Kingman, Kansas

Provider Information

NPI Number: 1104377647
Entity Type: Individual
Name: Tyler J Antenen, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Oct 19, 2016
Last Updated: Sep 3, 2025

Practice Location

Address: 750 W D AVE
City: Kingman
State: Kansas
ZIP Code: 67068-1266
Phone: (620) 532-0295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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