Kathrine F. Girrens, Md, Llc | |
1148 S Hillside St Suite 104 Wichita KS 67211-4006 | |
(316) 687-0006 | |
(316) 687-0328 |
Full Name | Kathrine F. Girrens, Md, Llc |
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Speciality | Psychiatry & Neurology |
Location | 1148 S Hillside St, Wichita, Kansas |
Authorized Official Name and Position | Kathrine Frances Girrens (SOLE PROVIDER) |
Authorized Official Contact | 3166870006 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kathrine F. Girrens, Md, Llc 1148 S Hillside St Suite 104 Wichita KS 67211-4006 Ph: (316) 687-0006 | Kathrine F. Girrens, Md, Llc 1148 S Hillside St Suite 104 Wichita KS 67211-4006 Ph: (316) 687-0006 |
NPI Number | 1144515198 |
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Provider Enumeration Date | 06/17/2011 |
Last Update Date | 09/13/2011 |
Medicare PECOS PAC ID | 1153591821 |
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Medicare Enrollment ID | O20110907001361 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144515198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 04-34127 (Kansas) | Primary |
Provider Name | Kathrine F Girrens |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861697385 PECOS PAC ID: 7719162783 Enrollment ID: I20110506000612 |
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