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Organization

SEK PRIMARY CARE ASSOC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY RENAE CUNNINGHAM DO (PRESIDENT)
(620) 325-2500
Entity
Organization

Contact information

Practice address
2600 OTTAWA RD, SUITE 101, NEODESHA, KS 66757-1897
(620) 325-2500
(620) 325-2550
Mailing address
2600 OTTAWA RD STE 101, PO BOX 345, NEODESHA, KS 66757-1897
(620) 325-2500
(620) 325-2550

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-31846
KS

Other

Enumeration date
08/27/2012
Last updated
09/17/2012
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