| Kit Carson Clinic | |
|
102 E 2nd Ave Kit Carson CO 80825 | |
| (719) 962-3501 | |
| Not Available |
| Full Name | Kit Carson Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 102 E 2nd Ave, Kit Carson, Colorado |
| Authorized Official Name and Position | Charlene Korrell (CEO) |
| Authorized Official Contact | 7197675662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kit Carson Clinic Po Box 578 Cheyenne Wells CO 80810-0578 Ph: (719) 767-5661 | Kit Carson Clinic 102 E 2nd Ave Kit Carson CO 80825 Ph: (719) 962-3501 |
| NPI Number | 1265692339 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 11/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265692339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Kit Carson Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 E 2nd Avenue, Kit Carson, CO 80825 Phone: 719-962-3501 Fax: 719-962-3403 |