Radiance Family Care LLC

NPI #1396344115 in Louisburg, Kansas

Provider Information

NPI Number
1396344115
Entity Type
Organization
Organization Name
Radiance Family Care LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Oct 22, 2020
Last Updated
Oct 22, 2020

Practice Location

Address
1262 W AMITY ST
State
Kansas
ZIP Code
66053-7815
Phone
(913) 747-5374

Authorized Official

Name
KELLI ELIZABETH DOCMAN, APRN
Title
APRN
Phone
(913) 747-5374

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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