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Rudy C Sasina Llc
Clinic/Center in Kingman, Kansas
NPI 1760711667

Rudy C Sasina Llc is a Clinic/Center based in Kingman, KS. Rudy C Sasina Llc practices in Kingman, KS. The NPI Number for Rudy C Sasina Llc is 1760711667 and holds a License No. 4866 (Kansas).

The current practice location address for Rudy C Sasina Llc is 108 N Main St, Kingman, KS and can be reached out via phone at 620-532-2225 and via fax at 620-532-3621.

Location: 108 N Main St, Kingman, KS, 67068-1301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760711667
Provider Name
Rudy C Sasina Llc
Credential
Provider Entity Type
Organization
Address
108 N Main St, Kingman, KS, 67068-1301
Phone Number
620-532-2225
Fax Number
620-532-3621
Provider Enumeration Date
12/24/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
062043 01 KS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
108 N Main St
City
Kingman
State
Kansas
Zip
67068-1301
Phone Number
620-532-2225
Fax Number
620-532-3621
person
Provider Business Mailing Address Details
Address
108 N Main St
City
Kingman
State
Kansas
Zip
67068-1301
Phone Number
620-532-2225
Fax Number
620-532-3621
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
4866 (Kansas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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