# KANSAS SPINE ANESTHESIA CORPORATION PA

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

## Provider details

- **NPI number:** 1720345911
- **Authorized official:** CHANDRA TOKALA MD (PRESIDENT)
- **Authorized official phone:** (316) 462-5000

## Contact information

- **Practice address:** 3333 N WEBB RD, WICHITA, KS 67226-8123
- **Practice address phone:** (316) 462-5000
- **Mailing address:** PO BOX 3547, WICHITA, KS 67201-3547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 04/12/2012
- **Last updated:** 04/12/2012