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NPI Code Detail

MEDICARE: MONTOYA FAMILY PRACTICE, PA

MEDICARE: MONTOYA FAMILY PRACTICE, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant15-00731KS
2363LF0000XFamily Nurse Practitioner45218KS
3207Q00000XFamily Medicine Physician0429228KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1103702OTHERKSMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2111291OTHERKSBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265592232
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONTOYA FAMILY PRACTICE, PA
Provider Business Mailing Address
First Line : 8451 E PAWNEE ST
Second Line :
City : WICHITA
State : KS
Zip : 67207-5420
Country : US
Telephone Number : 316-618-0035
Fax Number : 316-618-0010
Provider Business Practice Location Address
First Line : 8451 E PAWNEE ST
Second Line :
City : WICHITA
State : KS
Zip : 67207-5420
Country : US
Telephone Number : 316-618-0035
Fax Number : 316-618-0010
Authorized Official
Title or Position : OWNER
Name : DR. NATALIA MONTOYA
Credential : M.D.
Telephone Number : 316-618-0035
Provider Enumeration Date : 12/11/2006
Last Update Date : 02/03/2023

Similar Medicare Providers

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1285894709 — EMILY RUTH RUNYAN
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1992417166 — MELISSA ROCHELLE SCOTT FNP-C
Practice Location Address:
8451 E PAWNEE ST
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67207-5420
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Practice Fax: 316-618-0010

Directions to “MONTOYA FAMILY PRACTICE, PA ” Practice Location

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