Pratt Family Practice LLC

NPI #1740233204 in Pratt, Kansas

Provider Information

NPI Number
1740233204
Entity Type
Organization
Organization Name
Pratt Family Practice LLC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
May 18, 2006
Last Updated
Jul 16, 2015

Practice Location

Address
203 WATSON ST
Address 2
SUITE 200
City
Pratt
State
Kansas
ZIP Code
67124-3066
Phone
(620) 672-7422

Authorized Official

Name
WAKON FOWLER, M.D.
Title
MEDICAL DIRECTOR
Phone
(620) 672-7422

Specialties & Taxonomy Codes

Specialty
Family Medicine
Clinic/Center - Rural HealthRural Health

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