22 Mdg
Military Hospital in Mcconnell Afb, KS. Organization (NPI-2).
NPI number1275931263
StatusActive
Last updated in NPPESDec 8, 2014
Details
- NPI
- 1275931263
- Entity type
- Organization (NPI-2)
- Legal business name
- 22 Mdg
- Organization subpart
- No
- Enumeration date
- Dec 8, 2014
- Last updated
- Dec 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 286500000X | Military Hospital | – | – | Yes |
Practice location
57950 Leavenworth StMcconnell Afb, KS 67221-3506
Phone 316-759-5019
Mailing address
57950 Leavenworth StMcconnell Afb, KS 67221-3506
Authorized official
Marina Puentes
Family Practice Physician Assistant
3167595019
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