Family Practice Associates Of Ulysses Llc | |
202 W Kansas Ave Ulysses KS 67880-2034 | |
(620) 356-5870 | |
(620) 356-5867 |
Full Name | Family Practice Associates Of Ulysses Llc |
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Speciality | Family Medicine |
Location | 202 W Kansas Ave, Ulysses, Kansas |
Authorized Official Name and Position | Doug E Johnson (OWNER) |
Authorized Official Contact | 6203565870 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Practice Associates Of Ulysses Llc 202 W Kansas Ave Ulysses KS 67880-2034 Ph: (620) 356-5870 | Family Practice Associates Of Ulysses Llc 202 W Kansas Ave Ulysses KS 67880-2034 Ph: (620) 356-5870 |
NPI Number | 1316916638 |
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Provider Enumeration Date | 03/17/2006 |
Last Update Date | 09/03/2010 |
Identifier | Type | State | Issuer |
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1316916638 | NPI | - | NPPES |
100454690A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 05-27920 (Kansas) | Primary |