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Fort Scott Family Medicine, P.A.

NPI 1467566802ActiveOrganization· Family Medicine· Fort Scott, KS

Family Medicine in Fort Scott, Kansas, registered in NPPES in August 2006. The authorized official on file is Ricky D. Kellenberger, D.O., President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1467566802
StatusActive
Entity typeOrganization
NPI issuedAug 19, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (KS)

Medicare sources and data years

Other Family Medicine providers in Fort Scott

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