Organization
EMPORIA FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL M. WRIGHT M.D. (PRESIDENT)
(620) 343-2376
Entity
Organization
Contact information
Practice address
1301 W 12TH AVE, SUITE 301, EMPORIA, KS 66801-2587
(620) 343-2376
(620) 343-0095
Mailing address
1301 W 12TH AVE, SUITE 301, EMPORIA, KS 66801-2587
(620) 343-2376
(620) 343-0095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100643950A
—
KS
01
—
110953
BC/BS
KS
Enumeration date
07/19/2006
Last updated
12/18/2009
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