KACEE COAST
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1053232918- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1909 N 14TH AVE STE C, DODGE CITY, KS, 678012365
- Phone
- (620) 338-8633
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Primary
All Addresses
MAILING
1909 N 14TH AVE STE C
DODGE CITY, KS, 678012365