Organization
KINGMAN COUNTY FAMILY MEDICINE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAYLENE K REED (OFFICE MANAGER)
(620) 532-5800
Entity
Organization
Contact information
Practice address
132 WEST A STREET, KINGMAN, KS 67068
(620) 532-5800
(620) 532-3361
Mailing address
132 W A AVE, KINGMAN, KS 67068-1305
(620) 532-5800
(620) 532-3361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0525303
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110907
BCBS
KS
Enumeration date
06/05/2007
Last updated
11/30/2012
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