Full Name | Corning Clinic |
---|---|
Speciality | Family Medicine |
Location | 6221 5th Street, Corning, Kansas |
Authorized Official Name and Position | Todd M Willert (CEO) |
Authorized Official Contact | 7858895002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Corning Clinic 6221 5th Street Corning KS 66417 Ph: (785) 857-3334 | Corning Clinic 6221 5th Street Corning KS 66417 Ph: (785) 857-3334 |
NPI Number | 1003108440 |
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Provider Enumeration Date | 05/04/2011 |
Last Update Date | 08/04/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003108440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H075001 (Kansas) | Primary |
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