# MID AMERICA HEALTH, PA

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

## Provider details

- **NPI number:** 1801500178
- **Authorized official:** DR. KRISTOPHER RICHARD CARLSON MD (PRESIDENT)
- **Authorized official phone:** (706) 373-8095

## Contact information

- **Practice address:** 5450 SW FAIRLAWN RD, TOPEKA, KS 66610-9420
- **Practice address phone:** (706) 373-8095
- **Mailing address:** 5450 SW FAIRLAWN RD, TOPEKA, KS 66610-9420
- **Mailing address phone:** (706) 373-8095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2023
- **Last updated:** 01/10/2023