Organization
ADVANCED PRACTICE SPECIALTIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI MARIE BROWN (MANAGER/PROVDER)
(620) 639-0238
Entity
Organization
Contact information
Practice address
505 N MAIN ST, ELLINWOOD, KS 67526-1438
(620) 639-0238
Mailing address
505 N MAIN ST, ELLINWOOD, KS 67526-1438
(620) 639-0238
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
01/25/2024
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