SEAN-CARLO PROLAGO, PA

Physician Assistant

Active Individual
NPI: 1619057791

Practice Address

4722 W KELLOGG DR
Wichita, KS 67209

Phone: (316) 440-2565

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 15-00662 (KS)

Frequently Asked Questions

NPI 1619057791 is the National Provider Identifier for SEAN-CARLO PROLAGO, PA, a Physician Assistant provider located in Wichita, KS. This NPI was enumerated on October 16, 2006.
SEAN-CARLO PROLAGO, PA practices at 4722 W KELLOGG DR, Wichita, KS 67209.

Quick Facts

NPI
1619057791
Type
Individual
Enumerated
Oct 16, 2006
Last Updated
Mar 30, 2021

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