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

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