Kell West Family Practice Clinic | |
4412 Kell Blvd Wichita Falls TX 76309-4719 | |
(940) 696-0011 | |
Not Available |
Full Name | Kell West Family Practice Clinic |
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Speciality | Clinic/center - Primary Care |
Location | 4412 Kell Blvd, Wichita Falls, Texas |
Authorized Official Name and Position | Krista Zimpel (ADMINISTRATOR) |
Authorized Official Contact | 9406892319 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kell West Family Practice Clinic 4412 Kell Blvd Wichita Falls TX 76309-4719 Ph: () - | Kell West Family Practice Clinic 4412 Kell Blvd Wichita Falls TX 76309-4719 Ph: (940) 696-0011 |
NPI Number | 1811304090 |
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Provider Enumeration Date | 07/19/2014 |
Last Update Date | 07/19/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811304090 | NPI | - | NPPES |
CK5579 | Other | RAILROAD MEDICARE | |
156193801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (Texas) | Primary |
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Kell West Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5500 Kell West Blvd, Suite 400, Wichita Falls, TX 76310 Phone: 940-696-0011 Fax: 940-696-2248 | |
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