Organization
COFFEY COUNTY MEDICAL CENTER
Active
Other names
Waverly Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA WOLKEN (CLINIC ADMINISTRATOR)
(620) 364-5395
Entity
Organization
Contact information
Practice address
302 PEARSON AVE, WAVERLY, KS 66871-9676
(785) 733-2667
(785) 733-2143
Mailing address
PO BOX 289, BURLINGTON, KS 66839-0289
(620) 364-5395
(620) 364-8719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
KS
Other
Enumeration date
06/16/2005
Last updated
07/21/2022
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