IndividualActive
Jerrod Conkling, P.A.
NPI 1114950706 · Surgical Physician Assistant · Wichita, KS
Provider details
- NPI number
- 1114950706
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- 15-01039 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3223 N Webb Rd
Suite 1
Wichita, KS 67226-8175
Phone: (316) 609-2600
Fax: (316) 609-2800
Approximate (ZIP-level) locationGet directions
Mailing address
3223 N Webb Rd
Wichita, KS 67226-8175
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2015-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.