Kell West Family Practice Clinic
NPI #1073565685 in Wichita Falls, Texas
Provider Information
- NPI Number
- 1073565685
- Entity Type
- Organization
- Organization Name
- Kell West Family Practice Clinic
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 16, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5500 KELL WEST BLVD
- Address 2
- SUITE 400
- City
- Wichita Falls
- State
- Texas
- ZIP Code
- 76310-1612
- Phone
- (940) 696-0011
Authorized Official
- Name
- DR. MICHEAL ALLAN MOISANT, D.O.
- Title
- GENERAL PARTNER
- Phone
- (940) 696-0011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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