Kingman Health Clinic, P.a.

NPI #1366450199 in Kingman, Kansas

Provider Information

NPI Number: 1366450199
Entity Type: Organization
Organization Name: Kingman Health Clinic, P.a.
Primary Specialty: Family Medicine
Enumeration Date: Aug 4, 2006
Last Updated: Sep 27, 2011

Practice Location

Address: 701 E A AVE
City: Kingman
State: Kansas
ZIP Code: 67068-1723
Phone: (620) 532-5145

Authorized Official

Name: SHANE ALEXANDER, D.O.
Title: PRESIDENT
Phone: (620) 532-5145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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