NPI 1275931263
22 Mdg
Practice location
- Address
- 57950 Leavenworth St, McConnell Afb, KS 67221-3506
- Phone
- (316) 759-5019
Authorised official
- Name
- Marina Puentes
- Title
- Family Practice Physician Assistant
- Phone
- (316) 759-5019
Registered specialties
Military Hospital
Primary
Registry record
- NPI
- 1275931263
- Entity type
- Organization
- NPI issued
- 8 Dec 2014
- Record last updated
- 8 Dec 2014
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.