| NPI | 1659915734 |
|---|---|
| Doing Business As | SCKC PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | SHANON ASHLEY Credentialing Specialist 316-500-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2024-01-04 |