Organization
EL DORADO CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERRIE T KEHLER (CLINIC ADMINISTRATOR)
(316) 321-8850
Entity
Organization
Contact information
Practice address
700 W CENTRAL AVE, STE 205, EL DORADO, KS 67042-2184
(316) 321-2010
(316) 321-8871
Mailing address
700 W CENTRAL AVE, STE 205, EL DORADO, KS 67042-2184
(316) 321-2010
(316) 321-8871
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100213650A
—
KS
05
—
100213650B
—
KS
Enumeration date
02/28/2006
Last updated
02/19/2010
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