| Pratt Family Practice Llc | |
|
203 Watson St Suite 200 Pratt KS 67124-3066 | |
| (620) 672-7422 | |
| (620) 450-1601 |
| Full Name | Pratt Family Practice Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 203 Watson St, Pratt, Kansas |
| Authorized Official Name and Position | John Wakon Fowler (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6206727422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pratt Family Practice Llc 203 Watson St Suite 200 Pratt KS 67124-3066 Ph: (620) 672-7422 | Pratt Family Practice Llc 203 Watson St Suite 200 Pratt KS 67124-3066 Ph: (620) 672-7422 |
| NPI Number | 1346379625 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 03/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346379625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 178987 (Kansas) | Primary |
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