Organization
ELLSWORTH MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD NED WHITMER DO (OWNER)
(785) 472-3111
Entity
Organization
Contact information
Practice address
1602 N AYLWARD AVE, ELLSWORTH, KS 67439-2541
(785) 472-3111
(785) 472-5731
Mailing address
1602 N AYLWARD AVE, PO BOX 103, ELLSWORTH, KS 67439-2541
(785) 472-3111
(785) 472-5731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-18778
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016513
BCBS
KS
Enumeration date
08/03/2005
Last updated
08/22/2020
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