Pheasant Ridge Family Medicine, LLC

NPI #1023653789 in Garnett, Kansas

Provider Information

NPI Number: 1023653789
Entity Type: Organization
Organization Name: Pheasant Ridge Family Medicine, LLC
Primary Specialty: Family Medicine
Enumeration Date: Nov 16, 2019
Last Updated: Nov 16, 2019

Practice Location

Address: 312 S MAPLE ST
City: Garnett
State: Kansas
ZIP Code: 66032-1333
Phone: (785) 787-5050

Authorized Official

Name: ROSS KIMBALL, MD
Title: PHYSICIAN
Phone: (785) 787-5050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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