# KANSAS MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KANSAS MEDICAL CENTER, LLC
- **Other names:** KMC Physicians
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801007786
- **Legal business name:** KANSAS MEDICAL CENTER, LLC
- **Authorized official:** MR. STEVEN HADLEY (CHIEF BUSINESS EXECUTIVE)
- **Authorized official phone:** (316) 300-4021

## Contact information

- **Practice address:** 1124 W. 21ST ST, ANDOVER, KS 67002
- **Practice address phone:** (316) 300-4000
- **Practice address fax:** (316) 300-4040
- **Mailing address:** PO BOX 268938, OKLAHOMA CITY, OK 73126-8938
- **Mailing address phone:** (316) 300-4021
- **Mailing address fax:** (316) 300-4040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | KS | Yes |
| 207Q00000X | Family Medicine Physician | — | KS | — |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 11/10/2023