Erickson Medical Clinic, LLC
NPI #1689029464 in Clay Center, Kansas
Provider Information
- NPI Number
- 1689029464
- Entity Type
- Organization
- Organization Name
- Erickson Medical Clinic, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 28, 2016
- Last Updated
- Apr 28, 2016
Practice Location
- Address
- 409 LINCOLN AVE
- City
- Clay Center
- State
- Kansas
- ZIP Code
- 67432-2907
- Phone
- (785) 632-6415
Authorized Official
- Name
- DR. KENT EDWIN ERICKSON, M.D.
- Title
- PRESIDENT, MEMBER, OWNER
- Phone
- (785) 632-6415
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