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Specialty details in registry · Baxter Springs, KS

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At a glance

445 E 10Th St, Baxter Springs, KS 66713-1614

NPPES record updated Nov 8, 2017. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

445 E 10Th St
Baxter Springs, KS 66713-1614
Professional details: NPI, taxonomy & registry record
NPI1063925303
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
311ZA0620X
Enumeration date
Nov 8, 2017
Record updated
Nov 8, 2017
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

311ZA0620X · Primary

License reported: B011004 KS

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

445 E 10Th St
Baxter Springs, KS 66713-1614
Phone
(620) 856-2756
Mailing address
445 E 10TH ST

BAXTER SPRINGS, KS 667131614
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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