Guerrero Ivan Lopez
Guerrero Ivan Lopez is a Physician Assistant in Smith Center, Kansas. Qualified in 2020, 6 years ago. Practices with The Clara Barton Hospital Association Inc Hoisington Kansas, a 38-clinician group and accepts Medicare assignment. Licensed in Kansas.
- Years since qualifying
- 6
- Licensed in
- KS
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
921 E Highway 36Smith Center, KS 66967-9582
Phone: (785) 282-6834
Fax: (785) 282-6331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 15-02397 (KS) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1831713429 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 30, 2020 |
| Last updated in NPPES | June 17, 2024 |
| Certification date | June 17, 2024 |
| Mailing address | Po Box 349, Smith Center, KS 66967-0349 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | The Clara Barton Hospital Association Inc Hoisington Kansas — 38 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |