MR. Jeffery Keith Mincks, PA-C

NPI #1033208921 in Fort Riley, Kansas

Provider Information

NPI Number: 1033208921
Entity Type: Individual
Name: MR. Jeffery Keith Mincks, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 600 CAISSON HILL ROAD
Address 2: CTMC
City: Fort Riley
State: Kansas
ZIP Code: 66442
Phone: (785) 239-4411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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