Organization
KICKAPOO NATION HEALTH CENTER
Active
Other names
KICKAPOO NATION HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JONNAH MCKINNEY (DIRECTOR)
(785) 915-9751
Entity
Organization
Contact information
Practice address
1117 GOLDFINCH ROAD, HORTON, KS 66439
(785) 486-2154
(785) 486-2158
Mailing address
1117 GOLDFINCH ROAD, HORTON, KS 66439
(785) 486-2154
(785) 486-2158
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1718052
NABP
—
05
—
200438190A
—
KS
Enumeration date
07/01/2008
Last updated
08/29/2024
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