| Central Kansas Family Practice | |
|
1309 Polk Great Bend KS 67530 | |
| (620) 792-5341 | |
| (620) 792-3702 |
| Full Name | Central Kansas Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1309 Polk, Great Bend, Kansas |
| Authorized Official Name and Position | Perry Milton Smith (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6207925341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Kansas Family Practice 1309 Polk Great Bend KS 67530 Ph: (620) 792-5341 | Central Kansas Family Practice 1309 Polk Great Bend KS 67530 Ph: (620) 792-5341 |
| NPI Number | 1811234818 |
|---|---|
| Provider Enumeration Date | 01/10/2013 |
| Last Update Date | 02/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811234818 | NPI | - | NPPES |
| 100088870A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kansas) | Primary |
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