| Kansas Medical Specialists Pa | |
|
3720 10th St Great Bend KS 67530-3543 | |
| (620) 792-4500 | |
| (620) 792-4504 |
| Full Name | Kansas Medical Specialists Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3720 10th St, Great Bend, Kansas |
| Authorized Official Name and Position | Celestine Ofoma (PHYSICIAN) |
| Authorized Official Contact | 6207924500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kansas Medical Specialists Pa Po Box 1326 Great Bend KS 67530-1326 Ph: (620) 792-4500 | Kansas Medical Specialists Pa 3720 10th St Great Bend KS 67530-3543 Ph: (620) 792-4500 |
| NPI Number | 1639300890 |
|---|---|
| Provider Enumeration Date | 08/05/2009 |
| Last Update Date | 01/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639300890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0429127 (Kansas) | Primary |
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