Organization
WELLINGTON FAMILY PRACTICE CLINIC LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY D DAVIS (OFFICE MANAGER)
(620) 326-3353
Entity
Organization
Contact information
Practice address
1323 N A ST, WELLINGTON, KS 67152-4350
(620) 326-3353
(620) 326-2933
Mailing address
PO BOX 628, WELLINGTON, KS 67152-0628
(620) 326-3353
(620) 326-2933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100226820A
—
KS
Enumeration date
08/03/2006
Last updated
07/10/2008
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