| 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 |
|---|---|
| Provider Enumeration Date | 08/06/2019 |
| Last Update Date | 08/06/2019 |
| Medicare PECOS PAC ID | 9032440276 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609172782 PECOS PAC ID: 5395989917 Enrollment ID: I20130923000373 |
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