Provider Demographics
NPI:1700900511
Name:KAULEY, RALPH NMI JR (PA-C)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:NMI
Last Name:KAULEY
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5136 AIR FORCE DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76306-1356
Mailing Address - Country:US
Mailing Address - Phone:940-851-0134
Mailing Address - Fax:
Practice Address - Street 1:5420 KELL WEST BLVD
Practice Address - Street 2:KELL WEST REGIONAL HOSPITAL
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310
Practice Address - Country:US
Practice Address - Phone:940-692-5888
Practice Address - Fax:940-691-4071
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA02483363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical