Organization
PARTNERS IN FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL D ULLOM-MINNICH M.D. (M.D.)
(620) 345-6322
Entity
Organization
Contact information
Practice address
200 E PACK, MOUNDRIDGE, KS 67107-0640
(620) 345-6322
(620) 345-3038
Mailing address
200 EAST PACK, MOUNDRIDGE, KS 67107-0640
(620) 345-6322
(620) 345-3038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100273280A
—
KS
01
—
110273
BS GROUP ID NUMBER
KS
05
—
460679
—
KS
05
—
460682
—
KS
Enumeration date
02/27/2006
Last updated
05/22/2023
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