NPI 1033208921

Jeffery Keith Mincks, PAC

Practitioner Physician Assistant Fort Riley, KS

Practice location

Address: 600 Caisson Hill Road Ctmc, Fort Riley, KS 66442
Phone: (785) 239-4411
Mailing address: 1703 7th St, Clay Center, KS 67432-1803

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1098 (KS)

Other Physician Assistant providers in Kansas →

Registry record

NPI: 1033208921
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2006
Record last updated: 8 Jul 2007

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.