Tyler J Antenen, PA-C
Tyler J Antenen, PA-C is a Physician Assistant in Kingman, Kansas. Qualified in 2016, 10 years ago. Practices with Ninnescah Valley Health Systems Inc, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.
- Years since qualifying
- 10
- Licensed in
- KS
- In the registry since
- 2016
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
750 W D AveKingman, KS 67068-1266
Phone: (620) 532-0295
Fax: (855) 483-0002
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 1501947 (KS) |
|---|
Record details
| NPI number | 1104377647 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | October 19, 2016 |
| Last updated in NPPES | September 3, 2025 |
| Certification date | September 3, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Ninnescah Valley Health Systems Inc — 11 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Kingman
-
Mr. Carl Lee Green, PA
750 W D Ave, Kingman, KS 67068-1266 · (620) 532-3147
-
Paul Halderson
750 W D Ave, Kingman, KS 67068-1266 · (620) 532-3147
-
Dennis Kalmar, PA-C
750 W D Ave, Kingman, KS 67068-1266 · (620) 532-0295
-
Kathryn A Kimpler, PA-C
701 E A Ave, Kingman, KS 67068-1723 · (620) 532-5145