| |
128 S 5th St Osborne KS 67473-2304 | |
(785) 346-2033 | |
(785) 346-2919 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 128 S 5th St, Osborne, Kansas |
Authorized Official Name and Position | Barbara A Brown Applegate (OWNER) |
Authorized Official Contact | 7853462033 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
128 S 5th St Po Box 307 Osborne KS 67473-2304 Ph: (785) 346-2033 | 128 S 5th St Osborne KS 67473-2304 Ph: (785) 346-2033 |
NPI Number | 1104882414 |
---|---|
Provider Enumeration Date | 04/25/2006 |
Last Update Date | 09/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104882414 | NPI | - | NPPES |
100359250A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0523287 (Kansas) | Primary |
363A00000X | Physician Assistant | 1500690 (Kansas) | Secondary |