| Kw Medical Pllc | |
|
2300 W Michigan Ave Ste 7 Midland TX 79701-5808 | |
| (432) 218-7499 | |
| (432) 218-7489 |
| Full Name | Kw Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2300 W Michigan Ave Ste 7, Midland, Texas |
| Authorized Official Name and Position | Kenneth Winton (OWNER) |
| Authorized Official Contact | 4322187499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kw Medical Pllc 2300 W Michigan Ave Ste 7 Midland TX 79701-5808 Ph: (432) 218-7499 | Kw Medical Pllc 2300 W Michigan Ave Ste 7 Midland TX 79701-5808 Ph: (432) 218-7499 |
| NPI Number | 1346888625 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 12/17/2019 |
| Medicare PECOS PAC ID | 9739514589 |
|---|---|
| Medicare Enrollment ID | O20200124000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346888625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kenneth Ralph Winton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922085521 PECOS PAC ID: 2769471838 Enrollment ID: I20040512000793 |
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