Liberal Family Medicine, Llc | |
305 W 15th St Suite 103 Liberal KS 67901 | |
(620) 604-9698 | |
Not Available |
Full Name | Liberal Family Medicine, Llc |
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Speciality | Family Medicine |
Location | 305 W 15th St, Liberal, Kansas |
Authorized Official Name and Position | Francisco J Chacon (OWNER) |
Authorized Official Contact | 6206049698 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Liberal Family Medicine, Llc 305 W 15th St Suite 103 Liberal KS 67901 Ph: (620) 604-9698 | Liberal Family Medicine, Llc 305 W 15th St Suite 103 Liberal KS 67901 Ph: (620) 604-9698 |
NPI Number | 1700148442 |
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Provider Enumeration Date | 06/08/2012 |
Last Update Date | 06/15/2012 |
Identifier | Type | State | Issuer |
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1700148442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 04-33980 (Kansas) | Primary |
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