IndividualActive
Amy Bornholdt, PA
NPI 1265422752 · Physician Assistant · Wichita, KS
Provider details
- NPI number
- 1265422752
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 15-01037 (KS)
Practice location
310 S Hillside St
Wichita, KS 67211-2129
Phone: (316) 264-3505
Fax: (316) 264-0908
Mailing address
310 S Hillside St
Wichita, KS 67211-2129
Registry dates
- Enumerated
- 2005-10-26
- Last updated
- 2026-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.