Healthcare Provider Details

I. General information

NPI: 1922014737
Provider Name (Legal Business Name): SEELEY FELDMEYER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 E CARTHAGE
MEADE KS
67864
US

IV. Provider business mailing address

PO BOX 820
MEADE KS
67864-0820
US

V. Phone/Fax

Practice location:
  • Phone: 620-873-2141
  • Fax:
Mailing address:
  • Phone: 620-873-2141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: