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Contact Information

SOUTHEAST KANSAS ORTHOPEDICS & SPORTS MEDICINE
321 EAST MAIN
CHANUTE, KS66720
 Phone: 620-431-0887
 Fax: 620-431-0816
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SOUTHEAST KANSAS ORTHOPEDICS SPORTS MEDICINE · (Female)

NPI Number 1003809161
Status Active
Credentials
Entity Individual
Enumeration date 08/24/2005
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • KS License # 0520120
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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