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

Benjamin Ray Kimball, PA

Individual provider Physician Assistant · NPI 1114409893

Benjamin Ray Kimball, PA is a Physician Assistant in Wichita, Kansas. Qualified in 2018, 8 years ago. Practices with Intensive Care Consortium - Midwest, LLC, a 28-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
8
Licensed in
KS
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

550 N Hillside St
Wichita, KS 67214-4910
Phone: (316) 962-2000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 750 W D Ave, Kingman, KS 67068-1266 — (620) 532-3147

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-02118 (KS)

Record details

NPI number1114409893
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 30, 2018
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Intensive Care Consortium - Midwest, Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wichita