Organization
NORTHWEST KANSAS EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD RAY HOLWEGER MD (PROPRIETOR)
(785) 625-4363
Entity
Organization
Contact information
Practice address
2503 CANTERBURY DR, HAYS, KS 67601-2233
(785) 625-4363
(785) 625-4894
Mailing address
2503 CANTERBURY DR, HAYS, KS 67601-2233
(785) 625-4363
(785) 625-4894
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165153
BCBS
KS
01
—
DG7966
RAILROAD MEDICARE
KS
Enumeration date
03/28/2006
Last updated
05/21/2008
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