Ms Loan Kim Phan, APRN | |
1624 N Rock Rd, Derby, KS 67037-3718 | |
(316) 554-2126 | |
(316) 554-2128 |
Full Name | Ms Loan Kim Phan |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1624 N Rock Rd, Derby, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245503986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 53-75552-102 (Kansas) | Primary |
Entity Name | Mid-kansas Dermatology Clinic, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285685008 PECOS PAC ID: 7315935681 Enrollment ID: O20040505000086 |
Entity Name | Little Clinic Of Kansas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821483132 PECOS PAC ID: 7416268461 Enrollment ID: O20150618000158 |
Mailing Address | Practice Location Address |
---|---|
Ms Loan Kim Phan, APRN 1624 N Rock Rd, Derby, KS 67037-3718 Ph: (316) 554-2126 | Ms Loan Kim Phan, APRN 1624 N Rock Rd, Derby, KS 67037-3718 Ph: (316) 554-2126 |
Kimberly Louise Ignowski, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1624 N Rock Rd, Derby, KS 67037 Phone: 316-554-2126 Fax: 316-554-2128 | |
Tina Le, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1624 N Rock Rd, Derby, KS 67037 Phone: 316-554-2126 | |
Melanie Hall, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 E Madison Ave, Ste E, Derby, KS 67037 Phone: 316-358-9780 Fax: 316-358-7308 | |
Laurie Irene Haury, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1640 E Tall Tree Rd, Derby, KS 67037 Phone: 316-274-8222 Fax: 316-651-2344 | |
Elizabeth Lee Mackay, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 N Rock Rd, Derby, KS 67037 Phone: 316-788-6963 Fax: 316-789-1168 | |
Nichole L Fischer, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3251 N Rock Rd, Derby, KS 67037 Phone: 316-312-7780 Fax: 316-295-3732 |