Organization
ROOKS COUNTY MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN RENEE TAYLOR D.O. (PRESIDENT)
(785) 425-6417
Entity
Organization
Contact information
Practice address
129 S MAIN ST, STE 100, KENSINGTON, KS 66951
(785) 425-6417
(785) 425-6138
Mailing address
623 S 2ND ST, STOCKTON, KS 67669-1966
(785) 425-6417
(785) 425-6138
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-28153
KS
363A00000X
Physician Assistant
15-00306
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080179741
RAILROAD MEDICARE
KS
05
—
100429910A
—
KS
Enumeration date
07/21/2006
Last updated
06/16/2008
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