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Contact Information

KANSAS MEDICAL CENTER, LLC
1124 W. 21ST ST
ANDOVER, KS67002
 Phone: 316-300-4000
 Fax: 316-300-4040
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KANSAS MEDICAL CENTER LLC · (Female)

NPI # 1801007786
Status Active
Credentials
Entity Individual
Enumeration date 05/24/2007
Last updated 11/10/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • KS Medicaid 200408390B
  • KS Other 111283 BSBSKS
  • KS Other DN3967 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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