Provider Demographics
NPI:1154654481
Name:EKM FAMILY CENTER P.A
Entity Type:Organization
Organization Name:EKM FAMILY CENTER P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:MUNYON
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, MSN, BC
Authorized Official - Phone:620-275-1811
Mailing Address - Street 1:1807 E MARY ST STE 4
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-3877
Mailing Address - Country:US
Mailing Address - Phone:620-275-1811
Mailing Address - Fax:620-275-2344
Practice Address - Street 1:1807 E MARY ST STE 4
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-3877
Practice Address - Country:US
Practice Address - Phone:620-275-1811
Practice Address - Fax:620-275-2344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-18
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44804363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty