Organization
OVERBROOK FAMILY HEALTH CLINIC INC
Active
Other names
Overbrook Family Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM GENELLE DAVIS ARNP (ARNP FAMILY PRACTICE)
(785) 665-3055
Entity
Organization
Contact information
Practice address
223 MAPLE ST, OVERBROOK, KS 66524
(785) 665-3055
(785) 665-3056
Mailing address
PO BOX 327, 223 MAPLE ST, OVERBROOK, KS 66524
(785) 665-3055
(785) 665-3056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160997
BCBS CLINIC
—
01
—
6723
PHC
—
Enumeration date
04/20/2006
Last updated
08/22/2020
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