Organization
PITT FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYRA DAWN JENT APRN (FNP)
(620) 301-0264
Entity
Organization
Contact information
Practice address
2401 S TUCKER AVE STE 4, PITTSBURG, KS 66762-6619
(620) 301-0264
Mailing address
2401 S TUCKER AVE STE 4, PITTSBURG, KS 66762-6619
(620) 301-0264
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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