# CARDIO-KIDNEY VASCULAR CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1588237523
- **Authorized official:** ANDREA SMITH LRT (ADMINISTRATOR)
- **Authorized official phone:** (316) 402-0441

## Contact information

- **Practice address:** 3161 N WEBB RD STE 220, WICHITA, KS 67226
- **Practice address phone:** (316) 402-0440
- **Practice address fax:** (316) 402-0451
- **Mailing address:** 3161 N WEBB RD STE 220, WICHITA, KS 67226
- **Mailing address phone:** (316) 402-0440
- **Mailing address fax:** (316) 402-0451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | — |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2021
- **Last updated:** 08/03/2023