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

Diemkieu Pham

Individual provider Family Medicine Physician · NPI 1780259192

Diemkieu Pham is a Physician Assistant in Wichita, Kansas. Qualified in 2021, 5 years ago. Practices with Wichita Primary Care LLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
5
Licensed in
KS
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

2230 N Ridge Rd
Wichita, KS 67205-1053
Phone: (316) 448-8339
Fax: (316) 221-7149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7627 E 37th St N Apt 2903, Wichita, KS 67226-2809 — (316) 299-3596

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-02552 (KS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 15-02552 (KS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780259192
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 26, 2021
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wichita Primary Care Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wichita