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Organization
PRATT FAMILY PRACTICE LLC
Active
Organization
PRATT FAMILY PRACTICE LLC
Active
Other names
Pratt Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
WAKON FOWLER M.D. (MEDICAL DIRECTOR)
(620) 672-7422
Entity
Organization
Contact information
Practice address
203 WATSON ST, SUITE 200, PRATT, KS 67124-3066
(620) 672-7422
(620) 508-6476
Mailing address
203 WATSON ST, SUITE 200, PRATT, KS 67124-3066
(620) 672-7422
(620) 508-6476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/18/2006
Last updated
07/23/2026
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