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

Individual provider Physician Assistant · NPI 1134407109

Micah Jeanne Vannover, PA-C is a Physician Assistant in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2011.

Licensed in
KS
In the registry since
2011
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

5500 E Kellogg Dr
Wichita, KS 67218-1607
Phone: (316) 685-2221
Fax: (316) 634-3078
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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 15-01465 (KS)

Record details

NPI number1134407109
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 25, 2011
Last updated in NPPESAugust 6, 2014

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