| Knoll Clinic Llc | |
|
1100 E 22nd St Hays KS 67601-2422 | |
| (785) 625-5500 | |
| Not Available |
| Full Name | Knoll Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 E 22nd St, Hays, Kansas |
| Authorized Official Name and Position | Tonya L Knoll (PHYSICIAN) |
| Authorized Official Contact | 7856253026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knoll Clinic Llc 1100 E 22nd St Hays KS 67601-2422 Ph: (785) 625-3026 | Knoll Clinic Llc 1100 E 22nd St Hays KS 67601-2422 Ph: (785) 625-5500 |
| NPI Number | 1922249903 |
|---|---|
| Provider Enumeration Date | 03/20/2009 |
| Last Update Date | 02/22/2021 |
| Medicare PECOS PAC ID | 2860542321 |
|---|---|
| Medicare Enrollment ID | O20090604000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922249903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 05-29277 (Kansas) | Primary |
| Provider Name | Tonya L Knoll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750357547 PECOS PAC ID: 3577455435 Enrollment ID: I20040325001564 |
| Provider Name | Amy A Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104053560 PECOS PAC ID: 3870637556 Enrollment ID: I20100218000491 |
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