| NPI | 1801058748 |
|---|---|
| Doing Business As | KICKAPOO NATION HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JONNAH MCKINNEY Director 785-915-9751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2024-08-29 |