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

Paul Halderson

Individual provider Physician Assistant · NPI 1649671710

Paul Halderson is a Physician Assistant in Kingman, Kansas. Qualified in 2014, 12 years ago. Practices with Grisell Memorial Hospital District 1, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
12
Licensed in
KS
In the registry since
2014

Practice location Address checks out

750 W D Ave
Kingman, KS 67068-1266
Phone: (620) 532-3147
Fax: (620) 532-0167
Show map & directions

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

Additional practice locations (1)

  • 112 N Main St, Cunningham, KS 67035-8802 — (620) 298-2397

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-01738 (KS)

Record details

NPI number1649671710
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2014
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022
Mailing address750 W D Ave, Kingman, KS 67068-1266

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Grisell Memorial Hospital District 1 — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kingman