Provider Demographics
NPI:1922014737
Name:FELDMEYER, SEELEY (MD)
Entity Type:Individual
Prefix:
First Name:SEELEY
Middle Name:
Last Name:FELDMEYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 820
Mailing Address - Street 2:
Mailing Address - City:MEADE
Mailing Address - State:KS
Mailing Address - Zip Code:67864-0820
Mailing Address - Country:US
Mailing Address - Phone:620-873-2141
Mailing Address - Fax:
Practice Address - Street 1:510 E CARTHAGE
Practice Address - Street 2:
Practice Address - City:MEADE
Practice Address - State:KS
Practice Address - Zip Code:67864
Practice Address - Country:US
Practice Address - Phone:620-873-2141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine