Erickson, Kent Edwin

Erickson, Kent Edwin is an individual health care provider with primary practice located at 409 Lincoln Ave Erickson Medical Clinic, Llc, Clay Center KS 67432-2907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Erickson, Kent Edwin can be contacted via phone (785) 777-2622.

Contact Information

Primary practice address
409 Lincoln Ave Erickson Medical Clinic, Llc Clay Center KS 67432-2907
Phone: (785) 777-2622
Fax: (785) 777-2623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22435 Kansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-22435 Kansas

Profile Details

NPI number 1073516035
LBN Legal business name Erickson, Kent Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jun 16th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073516035 NPPES
Kansas MEDICAID 100208950A

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