Wheatland Family Practice LLC

NPI #1790991651 in Newton, Kansas

Provider Information

NPI Number: 1790991651
Entity Type: Organization
Organization Name: Wheatland Family Practice LLC
Primary Specialty: Family Medicine
Enumeration Date: May 15, 2007
Last Updated: May 28, 2009

Practice Location

Address: 700 MEDICAL CENTER DR
Address 2: STE. 101
City: Newton
State: Kansas
ZIP Code: 67114-9013
Phone: (316) 281-9504

Authorized Official

Name: MS. KATRINA MARIE FERRALES
Title: CREDENTIALING
Phone: (505) 647-8366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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