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Organization
ROOKS COUNTY MEDICAL ASSOCIATES PA
Active
Organization
ROOKS COUNTY MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN RENEE TAYLOR D.O. (PRESIDENT)
(785) 425-6417
Entity
Organization
Contact information
Practice address
129 S MAIN ST, STE 100, KENSINGTON, KS 66951
(785) 425-6417
(785) 425-6138
Mailing address
623 S 2ND ST, STOCKTON, KS 67669-1966
(785) 425-6417
(785) 425-6138
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-28153
KS
363A00000X
Physician Assistant
15-00306
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080179741
RAILROAD MEDICARE
KS
05
—
100429910A
—
KS
Enumeration date
07/21/2006
Last updated
06/16/2008
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