Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI # | 1174501662 |
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| LBN Legal business name | KNEIBERT CLINIC LLC | ||||||||
| Authorized official | ROBERT CHRISTIAN - (ADMINISTRATOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/04/2006 | ||||||||
| Last updated | 10/24/2008 - About 18 years ago | ||||||||
| Identifiers |
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