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302 Pearson Ave Waverly KS 66871-9676 | |
(785) 733-2667 | |
(785) 733-2143 |
Full Name | |
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Speciality | Family Medicine |
Location | 302 Pearson Ave, Waverly, Kansas |
Authorized Official Name and Position | Deanna Wolken (CLINIC ADMINISTRATOR) |
Authorized Official Contact | 6203645395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 289 Burlington KS 66839-0289 Ph: (620) 364-5395 | 302 Pearson Ave Waverly KS 66871-9676 Ph: (785) 733-2667 |
NPI Number | 1013912088 |
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Provider Enumeration Date | 06/16/2005 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1013912088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Kansas) | Primary |