“Independent Duty Medical Technicians” (Mcconnell Afb, KS)

Location: Mcconnell Afb, KS
Taxonomy: Independent Duty Medical Technicians.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.

1205110368 — BRIAN RUSSELL BALCOLM IDMT

Practice Location Address:

57950 LEAVENWORTH ST
MCCONNELL AFB KS
67221-3505

Practice Phone: 316-759-6300

1205110368 mobile

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1215425657 — JORDON L JEANS IDMT

Practice Location Address:

57950 LEAVENWORTH ST
MCCONNELL AFB KS
67221-3506

Practice Phone: 651-600-5324

1215425657 mobile

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1235402165 — MS. RACHEL BELDEN CRUZ IDMT

Practice Location Address:

57950 LEAVENWORTH ST
MCCONNELL AFB KS
67221-3505

Practice Phone: 316-759-5116

1235402165 mobile

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1255569612 — MS. JANICE RENEE FAUGHT IDMT

Practice Location Address:

57950 LEAVENWORTH ST BLDG 250
MCCONNELL AFB KS
67221-3506

Practice Phone: 316-759-5022

1255569612 mobile

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1568960342 — JUSTINE R FROUDE IDMT

Practice Location Address:

57950 LEAVENWORTH ST
MCCONNELL AFB KS
67221-3506

Practice Phone: 316-759-4648

1568960342 mobile

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1609592419 — ASHLEY LI

Practice Location Address:

22 MEDICAL GROUP, 57950 LEAVENWORTH
MCCONNELL AFB KS
67221-1772

Practice Phone: 510-332-1838

1609592419 mobile

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1740613397 — BROOKE ELIZABETH PRINE IDMT

Practice Location Address:

57950 LEAVENWORTH ST
MCCONNELL AFB KS
67221-3506

Practice Phone: 316-759-5116

1740613397 mobile

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1760616015 — JOHN LA CRUZ IDMT

Practice Location Address:

22 MDG
MCCONNELL AFB KS
67221-3712

Practice Phone: 316-759-5116

1760616015 mobile

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1790236503 — MARK FRISKEL IDMT

Practice Location Address:

57950 LEAVENWORTH ST
MCCONNELL AFB KS
67221-3505

Practice Phone: 316-759-6456

1790236503 mobile

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1922232271 — RICHARD JIMENEZ RUBI IDMT

Practice Location Address:

22 MDG
MCCONNELL AFB KS
67221

Practice Phone: 316-759-5116

1922232271 mobile

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