VICTORY CLINIC LLC NPI 1104540079

NPI Information

  • NPI: 1104540079
  • Provider Name: VICTORY CLINIC LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 715 SOUTHWIND DR
    JUNCTION CITY, KS
    ZIP 66441
  • Phone: (785) 209-3779

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NPI Details

VICTORY CLINIC LLC is a multi-specialty clinic center in Junction City, KS. VICTORY CLINIC LLC NPI is 1104540079. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

715 SOUTHWIND DR
JUNCTION CITY, KS
ZIP 66441-021
Phone: (785) 209-3779
Fax: (785) 209-3780

The provider's authorized official is Kristie Michelle Clark .
The authorized official title is Owner and has the following contact phone number (785) 209-3779.

The enumeration date for this NPI number is 10/3/2022 and was last updated on 2/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2208000000XPediatricsNo
32084P0800XPsychiatry & NeurologyPsychiatryNo
4261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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