Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prairie Star Family Practice, PA

Organization Family Medicine Physician · NPI 1003929001

Prairie Star Family Practice, PA is a Family Medicine Physician in Plainville, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1210 N Washington Clinic B
Plainville, KS 67663-1632
Phone: (785) 434-2622
Fax: (785) 434-2577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 04-28262 (KS)

Record details

NPI number1003929001
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Brull — Owner/President · (785) 434-2622
NPI enumeratedAugust 16, 2006
Last updated in NPPESJune 15, 2010
Mailing address1210 N. Washington, Clinic B, P.O. Box 407, Plainville, KS 67663-0407

Other providers in Plainville