Organization
LONG TERM CARE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA LYNNE MCCUE D.O. (OWNER/PHYSICIAN)
(620) 326-0251
Entity
Organization
Contact information
Practice address
1323 N A ST, WELLINGTON, KS 67152-4350
(620) 440-8121
(620) 359-1201
Mailing address
PO BOX 755, WELLINGTON, KS 67152-0755
(620) 440-8121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0524781
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233060J
—
KS
Enumeration date
02/25/2012
Last updated
06/19/2013
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