Central Kansas Family Practice, P.a. | |
1309 Polk St Great Bend KS 67530-3618 | |
(620) 792-5341 | |
(620) 792-3702 |
Full Name | Central Kansas Family Practice, P.a. |
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Speciality | Family Medicine |
Location | 1309 Polk St, Great Bend, Kansas |
Authorized Official Name and Position | Perry M Smith (PRESIDENT) |
Authorized Official Contact | 6207925341 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Central Kansas Family Practice, P.a. 1309 Polk St Great Bend KS 67530-3618 Ph: (620) 792-5341 | Central Kansas Family Practice, P.a. 1309 Polk St Great Bend KS 67530-3618 Ph: (620) 792-5341 |
NPI Number | 1235130675 |
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Provider Enumeration Date | 08/09/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235130675 | NPI | - | NPPES |
016135 | Other | KS | BLUE SHIELD |
173885 | Other | KS | RURAL HEALTH MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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