Centurion/mhm/centene

NPI #1780290205 in Norton, Kansas

Provider Information

NPI Number: 1780290205
Entity Type: Organization
Organization Name: Centurion/mhm/centene
Primary Specialty: Dentist
Enumeration Date: Sep 21, 2020
Last Updated: Sep 21, 2020

Practice Location

Address: 11130 RD E
City: Norton
State: Kansas
ZIP Code: 67654
Phone: (785) 877-6714

Authorized Official

Name: DR. KIMBERLY M MCKINLEY, DDS
Title: DENTIST
Phone: (785) 877-6714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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