Healthcare Provider Details

I. General information

NPI: 1124098827
Provider Name (Legal Business Name): ASSOCIATES IN FAMILY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 01/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W 4TH ST SUITE 2
MCPHERSON KS
67460-2300
US

IV. Provider business mailing address

400 W 4TH ST SUITE 2
MCPHERSON KS
67460-2300
US

V. Phone/Fax

Practice location:
  • Phone: 620-241-5000
  • Fax: 620-241-6206
Mailing address:
  • Phone: 620-241-5000
  • Fax: 620-241-6206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0413731
License Number StateKS

VIII. Authorized Official

Name: BRIAN MICHAEL BILLINGS
Title or Position: OWNER
Credential: M.D.
Phone: 620-241-5500