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Organization

COUNTY OF STEVENS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RODNEY KELLING (DIRECTOR/COORDINATOR)
(620) 544-2562
Entity
Organization

Contact information

Practice address
426 S JACKSON, HUGOTON, KS 67951-2144
(620) 544-2562
(620) 544-7841
Mailing address
109 N W AVENUE, HUGOTON, KS 67951-2144
(620) 544-2562
(620) 544-7841

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1880
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100243570A
KS
Enumeration date
10/25/2005
Last updated
02/10/2012
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