Sek Primary Care Assoc, LLC

Organization Active NPI Family Medicine Physician · Neodesha, KS

NPI 1003164872 · NPPES record last updated Sep 17, 2012

Key facts

NPI
1003164872
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
05-31846 (KS)
Legal business name
SEK PRIMARY CARE ASSOC, LLC
Practice address
2600 Ottawa Rd
Suite 101
Neodesha, KS 66757-1897
Phone
(620) 325-2500
Fax
(620) 325-2550
NPI assigned
Aug 27, 2012
Organization subpart
No

Authorized official

Name
Amy Renae Cunningham, DO
Title
President
Phone
(620) 325-2500

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X 05-31846 KS Yes

Addresses

Primary practice location

2600 Ottawa Rd
Suite 101
Neodesha, KS 66757-1897

Mailing address

2600 Ottawa Rd Ste 101
PO Box 345
Neodesha, KS 66757-1897
Phone (620) 325-2500

Other providers in Neodesha, KS

All providers in Neodesha, KS · Family Medicine Physician in Kansas

Sources for this page

Verify at the official NPI Registry.