=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316075229
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KINGS COUNTY FAMILY PLANNING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/01/2007
-----------------------------------------------------
Last Update Date | 12/12/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 330 CAMPUS DR
-----------------------------------------------------
City | HANFORD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93230-4375
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-582-3211
-----------------------------------------------------
Fax | 559-582-8388
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 330 CAMPUS DR
-----------------------------------------------------
City | HANFORD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93230-4375
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-582-3211
-----------------------------------------------------
Fax | 559-582-8388
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF PUBLIC HEALTH
-----------------------------------------------------
Name | KEITH WINKLER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 559-852-2625
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QF0050X
-----------------------------------------------------
Taxonomy Name | Non-Surgical Family Planning Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------