| Rooks County Medical Associates Pa | |
|
129 S Main St Ste 100 Kensington KS 66951 | |
| (785) 425-6417 | |
| (785) 425-6138 |
| Full Name | Rooks County Medical Associates Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 129 S Main St, Kensington, Kansas |
| Authorized Official Name and Position | Ann Renee Taylor (PRESIDENT) |
| Authorized Official Contact | 7854256417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooks County Medical Associates Pa 623 S 2nd St Stockton KS 67669-1966 Ph: (785) 425-6417 | Rooks County Medical Associates Pa 129 S Main St Ste 100 Kensington KS 66951 Ph: (785) 425-6417 |
| NPI Number | 1215958962 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215958962 | NPI | - | NPPES |
| 080179741 | Other | KS | RAILROAD MEDICARE |
| 100429910A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 05-28153 (Kansas) | Primary |
| 363A00000X | Physician Assistant | 15-00306 (Kansas) | Secondary |