Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER J ANTENEN, P.A.-C
ActiveTYLER J ANTENEN, P.A.-C is a Physician Assistant healthcare provider located in KINGMAN, Kansas. NPI 1104377647 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · KINGMAN, KS
Registration Details
- NPI Number
- 1104377647
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2016 (9.7804756282075 yrs)
- Last Updated
- Sep 3, 2025
- License
-
1501947 (KS)
Practice Information
- Address
-
750 W D AVEKINGMAN, KS, 670681266Browse KS providers · Browse ZIP 67068
- Phone
- 6205320295
- Fax
- 8554830002
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in KINGMAN, KS
| Name | Credential | NPI |
|---|---|---|
| KATHRYN A KIMPLER | PA-C | 1720059876 |
| MR. CARL LEE GREEN | P.A. | 1619935335 |
| MR. LEROY E SHUGART | P.A. | 1861440026 |
| PAUL HALDERSON | — | 1649671710 |
| DENNIS KALMAR | PA-C | 1376112896 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.