| Muddy Creek Family Clinic Llc | |
|
200 White Way St Netawaka KS 66516-9378 | |
| (785) 933-2000 | |
| (785) 933-2022 |
| Full Name | Muddy Creek Family Clinic Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 200 White Way St, Netawaka, Kansas |
| Authorized Official Name and Position | Michael L. Keehn (OWNER) |
| Authorized Official Contact | 7859332000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Muddy Creek Family Clinic Llc 200 White Way St Netawaka KS 66516-9378 Ph: (785) 933-2000 | Muddy Creek Family Clinic Llc 200 White Way St Netawaka KS 66516-9378 Ph: (785) 933-2000 |
| NPI Number | 1952311318 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 02/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952311318 | NPI | - | NPPES |
| 0424501 | Other | KS | STATE LICENSE |
| DG5340 | Other | KS | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0424501 (Kansas) | Primary |