Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kylie Kristine Witham, PA-C

Individual provider Medical Physician Assistant · NPI 1316019458

Kylie Kristine Witham, PA-C is a Physician Assistant in Wichita, Kansas. Qualified in 2002, 24 years ago. Practices with Resolute Dermatology, a 5-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
24
Licensed in
KS
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1923 N Webb Rd
Wichita, KS 67206-3405
Phone: (316) 630-9300
Fax: (316) 262-4887
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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 15-00877 (KS)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 15-00877 (KS)

Record details

NPI number1316019458
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 14, 2006
Last updated in NPPESOctober 9, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Resolute Dermatology — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Wichita