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

Spectrum Family Medical Clinic, PA

Organization Family Medicine Physician · NPI 1912963067

Spectrum Family Medical Clinic, PA is a Family Medicine Physician in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2020 N Tyler Ste 114
Wichita, KS 67212-4916
Phone: (316) 462-0460
Fax: (316) 462-0465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0422366 (KS)

Record details

NPI number1912963067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phaedra Mann — Office Manager · (316) 462-0460
NPI enumeratedApril 25, 2006
Last updated in NPPESOctober 5, 2017
Mailing address2020 N Tyler, Ste 114, Wichita, KS 67212-4916

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