Organization
RACY'S MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL KEITH CUNDIFF APRN (OWNER)
(620) 855-4616
Entity
Organization
Contact information
Practice address
107 NORTH MAIN STREET, CIMARRON, KS 67835-0646
(620) 855-4616
(620) 855-4613
Mailing address
107 NORTH MAIN STREET, CIMARRON, KS 67835-0646
(620) 855-4616
(620) 855-4613
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
5344884111
KS
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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