IndividualActive
Amanda Diefenderfer, PA-C
NPI 1659312403 · Physician Assistant · Wichita, KS
Provider details
- NPI number
- 1659312403
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 15-02623 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5500 E Kellogg Dr
Wichita, KS 67218-1607
Phone: (316) 685-2221
Fax: (316) 634-3058
Approximate (ZIP-level) locationGet directions
Mailing address
5500 E Kellogg Dr
Wichita, KS 67218-1607
Registry dates
- Enumerated
- 2006-06-10
- Last updated
- 2024-02-15
- Certified
- 2024-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.