Individual
FRANK ALLEN MOORHEAD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
709 MAIN ST, NEODESHA, KS 66757-1634
(620) 325-2200
(620) 325-2410
Mailing address
709 MAIN ST, PO BOX 180, NEODESHA, KS 66757-1634
(620) 325-2200
(620) 325-2410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-13549
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004284360001
—
KS
01
—
3200470
SIGNA HEALTH INS
KS
01
—
990009838
RR MEDICARE/PALMETTO
KS
Enumeration date
06/22/2005
Last updated
01/11/2024
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