Prairie Star Family Practice, P.a.
NPI #1003929001 in Plainville, Kansas
Provider Information
- NPI Number
- 1003929001
- Entity Type
- Organization
- Organization Name
- Prairie Star Family Practice, P.a.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 16, 2006
- Last Updated
- Jun 15, 2010
Practice Location
- Address
- 1210 N. WASHINGTON, CLINIC B
- City
- Plainville
- State
- Kansas
- ZIP Code
- 67663-1632
- Phone
- (785) 434-2622
Authorized Official
- Name
- JENNIFER BRULL, M.D.
- Title
- OWNER/PRESIDENT
- Phone
- (785) 434-2622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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