Individual
JEAN PRINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1905 19TH ST, GREAT BEND, KS 67530-2502
(620) 792-5700
(855) 463-0851
Mailing address
1905 19TH ST, GREAT BEND, KS 67530-2502
(620) 792-5700
(855) 463-0851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-25732
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040085
MEDICARE
KS
05
—
100182070A
—
KS
Enumeration date
05/12/2006
Last updated
04/15/2026
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