Tyler J. Antenen, P.A.-C
Physician Assistant · Kingman, KS
UnclaimedP.A.-CNPI 1104377647
- Primary taxonomy
- 363A00000X
- Enumerated
- 2016-10-19
- Practice location
- Kingman, KS
- Last NPPES update
- 2025-09-03
State licenses
- KS · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.