# PRATT FAMILY PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pratt Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346379625
- **Authorized official:** DR. JOHN WAKON FOWLER M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (620) 672-7422

## Contact information

- **Practice address:** 203 WATSON ST, SUITE 200, PRATT, KS 67124-3066
- **Practice address phone:** (620) 672-7422
- **Practice address fax:** (620) 450-1601
- **Mailing address:** 203 WATSON ST, SUITE 200, PRATT, KS 67124-3066
- **Mailing address phone:** (620) 672-7422
- **Mailing address fax:** (620) 450-1601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 178987 | KS | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 03/07/2012