Second Ray: Health And Wellness Pc | |
428 S 2nd St Sterling CO 80751-4219 | |
(406) 212-4523 | |
(402) 337-8898 |
Full Name | Second Ray: Health And Wellness Pc |
---|---|
Speciality | Family Medicine |
Location | 428 S 2nd St, Sterling, Colorado |
Authorized Official Name and Position | Keyna Schlup (MANAGING PHYSICIAN) |
Authorized Official Contact | 4062124523 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Second Ray: Health And Wellness Pc 428 S 2nd St Sterling CO 80751-4219 Ph: (406) 212-4523 | Second Ray: Health And Wellness Pc 428 S 2nd St Sterling CO 80751-4219 Ph: (406) 212-4523 |
NPI Number | 1184279234 |
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Provider Enumeration Date | 08/06/2019 |
Last Update Date | 08/06/2019 |
Medicare PECOS PAC ID | 9032440276 |
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Medicare Enrollment ID | O20191018002240 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184279234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Keyna I Schlup |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609172782 PECOS PAC ID: 5395989917 Enrollment ID: I20130923000373 |
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