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800 W Laurel St Independence KS 67301-3211 | |
(620) 331-2200 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 800 W Laurel St, Independence, Kansas |
Authorized Official Name and Position | Shelly Hunter (CFO) |
Authorized Official Contact | 4176252459 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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800 W Myrtle St Independence KS 67301-3240 Ph: (620) 331-2200 | 800 W Laurel St Independence KS 67301-3211 Ph: (620) 331-2200 |
NPI Number | 1912014929 |
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Provider Enumeration Date | 08/24/2006 |
Last Update Date | 02/28/2014 |
Identifier | Type | State | Issuer |
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1912014929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | H-063-004 (Kansas) | Primary |
Robert M Osborn Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N. 14th St., Independence, KS 67301 Phone: 620-331-2070 | |