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Organization
KANSAS SPINE ANESTHESIA CORPORATION PA
Active
Organization
KANSAS SPINE ANESTHESIA CORPORATION PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRA TOKALA MD (PRESIDENT)
(316) 462-5000
Entity
Organization
Contact information
Practice address
3333 N WEBB RD, WICHITA, KS 67226-8123
(316) 462-5000
Mailing address
PO BOX 3547, WICHITA, KS 67201-3547
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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