Organization
CENTURION/MHM/CENTENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY M MCKINLEY DDS (DENTIST)
(785) 877-6714
Entity
Organization
Contact information
Practice address
11130 RD E, NORTON, KS 67654
(785) 877-6714
Mailing address
11130 RD E PO BOX# 546, NORTON, KS 67654
(785) 877-6714
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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