NPI 1003929001
Prairie Star Family Practice, P.A.
Practice location
- Address
- 1210 N. Washington, Clinic B, Plainville, KS 67663-1632
- Phone
- (785) 434-2622
- Fax
- (785) 434-2577
- Mailing address
- 1210 N. Washington, Clinic B P.O. Box 407, Plainville, KS 67663-0407
Authorised official
- Name
- Jennifer Brull
- Title
- Owner/President
- Phone
- (785) 434-2622
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1003929001
- Entity type
- Organization
- NPI issued
- 16 Aug 2006
- Record last updated
- 15 Jun 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.