Organization
K STAT URGENT CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT H KIRACOFE M.D. (MANAGING PARTNER)
(785) 587-4101
Entity
Organization
Contact information
Practice address
930 HAYES DR, SUITE B, MANHATTAN, KS 66502-5721
(785) 565-0016
(785) 565-0003
Mailing address
930 HAYES DR, SUITE B, MANHATTAN, KS 66502-5721
(785) 565-0016
(785) 565-0003
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
04 27070
KS
Other
Enumeration date
05/03/2007
Last updated
01/02/2009
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