Paul Wilde, PA-C, SC.D

NPI 1558361535 · on the registry since 2005

Practice

Address: 550 Pope Ave
Fort Leavenworth, KS 66027
Phone: (913) 684-6198
Fax: (913) 684-6128
Organisation at this address: Mahc
Ahc Munson-Leavenworth
Munson Army Health Center
Munson Army Health Center
Munson Army Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 212

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas