Kell West Family Practice Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KELL WEST FAMILY PRACTICE CLINIC

Practice address

5500 Kell West Blvd
Suite 400
Wichita Falls, TX 76310-1612

Phone

(940) 696-0011

Fax

(940) 696-2248

NPI assigned

May 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Micheal Allan Moisant, D.O.

Title

General Partner

Phone

(940) 696-0011

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073565685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 KELL BLVD",
            "address_2": "SUITE 400",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101612",
            "telephone_number": "940-696-0011",
            "fax_number": "940-696-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 KELL WEST BLVD",
            "address_2": "SUITE 400",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101612",
            "telephone_number": "940-696-0011",
            "fax_number": "940-696-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELL WEST FAMILY PRACTICE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOISANT",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "940-696-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK5579",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0078HQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaufman Orthopedic Pain Management, PLLC
• Ralph Nmi Kauley Jr., PA-C
• Jacie Michelle Keith, APRN, FNP
• Kell Anesthesia Billing Company
• Kell Primary Care PA
• Kell West Family Practice Clinic
• Kell West Regional Hospital LLC
• Phillip W. Kelly, M.D.
• Elaine Grace Kempf, CRNA
• Patricia Nau Kennedy, LPC, LPA, ASOTP

• Primary Care Clinic/Center in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.