JEFFERY KEITH MINCKS

FORT RILEY, KS
NPI1033208921
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: KS  1098)
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
Mr. JEFFERY KEITH MINCKS PA-C
600 CAISSON HILL ROAD CTMC
FORT RILEY, KS 66442
Phone number: 785-239-4411
Mailing Address
Mr. JEFFERY KEITH MINCKS PA-C
1703 7TH ST
CLAY CENTER, KS 67432-1803
Phone number: 785-447-0369
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