Muddy Creek Family Clinic Llc | |
200 White Way St Netawaka KS 66516-9378 | |
(785) 933-2000 | |
(785) 933-2022 |
Full Name | Muddy Creek Family Clinic Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 200 White Way St, Netawaka, Kansas |
Authorized Official Name and Position | Michael L. Keehn (OWNER) |
Authorized Official Contact | 7859332000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Muddy Creek Family Clinic Llc 200 White Way St Netawaka KS 66516-9378 Ph: (785) 933-2000 | Muddy Creek Family Clinic Llc 200 White Way St Netawaka KS 66516-9378 Ph: (785) 933-2000 |
NPI Number | 1952311318 |
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Provider Enumeration Date | 08/09/2006 |
Last Update Date | 02/04/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952311318 | NPI | - | NPPES |
0424501 | Other | KS | STATE LICENSE |
DG5340 | Other | KS | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 0424501 (Kansas) | Primary |