Provider Demographics
NPI:1720026156
Name:MCLAUGHLIN, JAVINE HORANI (MD, FACOG)
Entity Type:Individual
Prefix:DR
First Name:JAVINE
Middle Name:HORANI
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MD, FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1902 S HWY 59 STE 301
Mailing Address - Street 2:
Mailing Address - City:PARSONS
Mailing Address - State:KS
Mailing Address - Zip Code:67357-4948
Mailing Address - Country:US
Mailing Address - Phone:620-820-5850
Mailing Address - Fax:620-820-5851
Practice Address - Street 1:1902 S HWY 59 STE 301
Practice Address - Street 2:
Practice Address - City:PARSONS
Practice Address - State:KS
Practice Address - Zip Code:67357-4948
Practice Address - Country:US
Practice Address - Phone:620-820-5850
Practice Address - Fax:620-820-5851
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0434219207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200641950AMedicaid