Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Spectrum Family Medical Clinic, PA

Organization Family Medicine Physician · NPI 1912963067

Spectrum Family Medical Clinic, PA provides Family Medicine Physician services in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2020 N Tyler Ste 114
Wichita, KS 67212-4916
Phone: (316) 462-0460
Fax: (316) 462-0465
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0422366 (KS)

Record details

NPI number1912963067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phaedra Mann — Office Manager · (316) 462-0460
NPI enumeratedApril 25, 2006
Last updated in NPPESOctober 5, 2017
Mailing address2020 N Tyler, Ste 114, Wichita, KS 67212-4916

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