Provider Demographics
NPI:1013280080
Name:COX, KARI E (PAC)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:E
Last Name:COX
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 ROAD 6
Mailing Address - Street 2:
Mailing Address - City:WESKAN
Mailing Address - State:KS
Mailing Address - Zip Code:67762-4065
Mailing Address - Country:US
Mailing Address - Phone:402-670-4926
Mailing Address - Fax:
Practice Address - Street 1:321 E HARPER
Practice Address - Street 2:BOX 640
Practice Address - City:TRIBUNE
Practice Address - State:KS
Practice Address - Zip Code:67879-0640
Practice Address - Country:US
Practice Address - Phone:620-376-4251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS15-01520363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical