Healthcare Provider Details

I. General information

NPI: 1588627384
Provider Name (Legal Business Name): FAMILY PRACTICE ASSOCIATES OF MCPHERSON, L.L.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 08/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 HOSPITAL DR
MCPHERSON KS
67460-2326
US

IV. Provider business mailing address

1010 HOSPITAL DR
MCPHERSON KS
67460-2326
US

V. Phone/Fax

Practice location:
  • Phone: 620-241-7400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MELANIE STUCKY
Title or Position: ADMINISTRATOR
Credential:
Phone: 620-241-7400