IndividualActive
Edwin Price, RPAC
NPI 1124129911 · Medical Physician Assistant · Derby, KS
Provider details
- NPI number
- 1124129911
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RPAC
- Sex
- Male
- Sole proprietor
- No
- License
- 15-00248 (KS)
Practice location
606 Mulberry Rd
Derby, KS 67037-3532
Phone: (316) 788-3787
Fax: (316) 788-6930
Mailing address
1725 Tiara Pines Dr
Derby, KS 67037-3933
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2013-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.