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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

NPI Number 1003809161
LBN Legal business name SOUTHEAST KANSAS ORTHOPEDICS & SPORTS MEDICINE
Authorized official DEBORAH KING - (CORP OFFICER OWNER OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2005
Last updated 09/11/2025 - About 9 months ago
Identifiers
KS License # 0520120
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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