Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centerwell Senior Primary Care Ks PA

Organization Family Medicine Physician · NPI 1013737576

Centerwell Senior Primary Care Ks PA is a Family Medicine Physician in Wichita, Kansas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

961 S Glendale St
Wichita, KS 67218-3210
Phone: (316) 618-9555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1013737576
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care Ks PA
Authorized official Megan Galvan — Credentialing Manager · (305) 500-2000
Other names Centerwell Senior Primary Care (Ks) Pa - Parklane
NPI enumeratedOctober 10, 2024
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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