# PRATT FAMILY PRACTICE LLC

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

## Provider details

- **NPI number:** 1740233204
- **Authorized official:** 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) 508-6476
- **Mailing address:** 203 WATSON ST, SUITE 200, PRATT, KS 67124-3066
- **Mailing address phone:** (620) 672-7422
- **Mailing address fax:** (620) 508-6476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 07/23/2026