# KANSAS NEONATOLOGY SERVICES PA

> 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:** 1629687678
- **Authorized official:** KATHLEEN KONDAS (AO/OFFICER)
- **Authorized official phone:** (973) 251-1132

## Contact information

- **Practice address:** 415 N MAIN ST, ULYSSES, KS 67880-2133
- **Practice address phone:** (620) 356-1266
- **Mailing address:** 5565 CENTERVIEW DR STE 107, RALEIGH, NC 27606-3563
- **Mailing address phone:** (973) 251-1132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2020
- **Last updated:** 07/27/2020