# DEDICATED PHYSICIANS GROUP OF KANSAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEDICATED PHYSICIANS GROUP OF KANSAS LLC
- **Other names:** DEDICATED SENIOR MEDICAL CENTER GROVE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023751328
- **Legal business name:** DEDICATED PHYSICIANS GROUP OF KANSAS LLC
- **Authorized official:** MARY CHEN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (305) 628-6117

## Contact information

- **Practice address:** 2402 E 13TH ST N, WICHITA, KS 67214-2102
- **Practice address phone:** (316) 867-6444
- **Practice address fax:** (316) 867-6443
- **Mailing address:** 1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
- **Mailing address phone:** (305) 628-6117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2022
- **Last updated:** 10/05/2022