Organization
NEUROLOGY CLINIC LLC
Active
Organization
NEUROLOGY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVENDRA K. JAIN MD (OWNER)
(620) 421-3392
Entity
Organization
Contact information
Practice address
3101 MAIN ST, PARSONS, KS 67357-2649
(620) 421-3392
(620) 421-5745
Mailing address
3101 MAIN ST, PO BOX 236, PARSONS, KS 67357-2649
(620) 421-3392
(620) 421-5745
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0426110
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184970C
—
KS
Enumeration date
01/09/2009
Last updated
11/12/2013
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