# KANSAS MEDICAL CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467825679
- **Authorized official:** AMBER KENNEDY (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (785) 295-0936

## Contact information

- **Practice address:** 2921 SW WANAMAKER DR, TOPEKA, KS 66614-5328
- **Practice address phone:** (785) 272-6860
- **Practice address fax:** (785) 272-5839
- **Mailing address:** 2200 SW 6TH AVE, SUITE 104, TOPEKA, KS 66606-1707
- **Mailing address phone:** (785) 354-8518
- **Mailing address fax:** (785) 354-1255

## Taxonomy

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

## Other

- **Enumeration date:** 11/10/2015
- **Last updated:** 11/10/2015