Provider Demographics
NPI:1578693735
Name:VARNER, RONALD MARK (DO)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:MARK
Last Name:VARNER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:700 W CENTRAL AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:EL DORADO
Mailing Address - State:KS
Mailing Address - Zip Code:67042-2184
Mailing Address - Country:US
Mailing Address - Phone:316-320-9900
Mailing Address - Fax:316-320-7301
Practice Address - Street 1:700 W CENTRAL AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:EL DORADO
Practice Address - State:KS
Practice Address - Zip Code:67042-2184
Practice Address - Country:US
Practice Address - Phone:316-320-9900
Practice Address - Fax:316-320-7301
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS0517990207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS000960OtherPREFERRED PLUS OF KANSAS
KS009740OtherBLUE SHIELD PERSONAL ID
KS100098490AMedicaid
KS009963OtherVARNER CLINIC BLUE SHIELD
KS100098490AMedicaid
KS009963OtherVARNER CLINIC BLUE SHIELD
KS000960OtherPREFERRED PLUS OF KANSAS