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Organization

KICKAPOO TRIBE IN KANSAS

Active
Parent organization
KICKAPOO TRIBE IN KANSAS
Other names
Kickapoo Nation Health Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
KICKAPOO TRIBE IN KANSAS
Authorized official
JONNAH D MCKINNEY (ADMINISTRATOR)
(785) 915-9751
Entity
Organization

Contact information

Practice address
1117 GOLDFINCH RD, HORTON, KS 66439-9537
(785) 915-9751
(785) 329-4798
Mailing address
1117 GOLDFINCH RD, HORTON, KS 66439-9537
(785) 915-9751
(785) 329-4798

Taxonomy

Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary

Other

Enumeration date
09/25/2006
Last updated
07/21/2026
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