# KANSAS ENDOSCOPY LLC

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

## Provider details

- **NPI number:** 1538153887
- **Authorized official:** MRS. DEE NOLTING (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (316) 261-3130

## Contact information

- **Practice address:** 3121 N WEBB RD, WICHITA, KS 67226-8119
- **Practice address phone:** (316) 261-3130
- **Practice address fax:** (316) 261-3275
- **Mailing address:** 3121 N WEBB RD, WICHITA, KS 67226-8119
- **Mailing address phone:** (316) 261-3130
- **Mailing address fax:** (316) 261-3275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S087012 | KS | Yes |

## Other

- **Enumeration date:** 09/01/2005
- **Last updated:** 08/03/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200024650B | — | KS |
| 01 | — | S087012 | STATE OF KANSAS | KS |