| Kingman County Family Medicine,llc | |
|
132 West A Street Kingman KS 67068 | |
| (620) 532-5800 | |
| (620) 532-3361 |
| Full Name | Kingman County Family Medicine,llc |
|---|---|
| Speciality | Family Medicine |
| Location | 132 West A Street, Kingman, Kansas |
| Authorized Official Name and Position | Jaylene K Reed (OFFICE MANAGER) |
| Authorized Official Contact | 6205325800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingman County Family Medicine,llc 132 W A Ave Kingman KS 67068-1305 Ph: (620) 532-5800 | Kingman County Family Medicine,llc 132 West A Street Kingman KS 67068 Ph: (620) 532-5800 |
| NPI Number | 1770785362 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 11/30/2012 |
| Medicare PECOS PAC ID | 0941266852 |
|---|---|
| Medicare Enrollment ID | O20041202000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770785362 | NPI | - | NPPES |
| 110907 | Other | KS | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0525303 (Kansas) | Primary |
| Provider Name | Charles R Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568499267 PECOS PAC ID: 7012803521 Enrollment ID: I20040223000882 |
| Provider Name | Teresa M Craddock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811949241 PECOS PAC ID: 5890784243 Enrollment ID: I20040510001606 |
| Provider Name | Elaine M Harrington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295762854 PECOS PAC ID: 7214902873 Enrollment ID: I20040827000962 |
| Provider Name | Kevin C Hoppock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710913074 PECOS PAC ID: 2163460908 Enrollment ID: I20050421000592 |
| Provider Name | Stephen G Grillot |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083714380 PECOS PAC ID: 6002850716 Enrollment ID: I20050614000641 |
| Provider Name | Scott M Hane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780611442 PECOS PAC ID: 4587692025 Enrollment ID: I20050727000300 |
| Provider Name | Matthew Todd Voth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679583033 PECOS PAC ID: 2961433768 Enrollment ID: I20050822000837 |
| Provider Name | Janey E Maki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205859030 PECOS PAC ID: 2365412657 Enrollment ID: I20080510000018 |
| Provider Name | Clay E Lyddane |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760641476 PECOS PAC ID: 6901074459 Enrollment ID: I20110727000616 |
| Provider Name | Andrea M Fullerton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063617587 PECOS PAC ID: 1456522309 Enrollment ID: I20110926000304 |
| Provider Name | Surendra B Kolla |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194952143 PECOS PAC ID: 5597086819 Enrollment ID: I20150626001035 |
| Provider Name | Christina A Godwin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932494630 PECOS PAC ID: 6709033848 Enrollment ID: I20170714000850 |
Kingman Health Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E A Ave, Kingman, KS 67068 Phone: 620-532-5145 Fax: 620-532-2586 | |
Advanced Mobile Healthcare And Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 437 Cedar St, Kingman, KS 67068 Phone: 620-553-5040 Fax: 620-553-5029 | |
Kingman Healthcare Center Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 750 W D Ave, Kingman, KS 67068 Phone: 620-532-0295 Fax: 855-483-0002 | |
Kingman Chiropractic Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 N Main St, Kingman, KS 67068 Phone: 620-532-2225 Fax: 620-532-3621 | |
Kingman Health Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E A Ave, Kingman, KS 67068 Phone: 620-532-5145 Fax: 620-532-2586 |