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Organization
KANSAS MEDICAL CENTER, LLC
Active
Organization
KANSAS MEDICAL CENTER, LLC
Active
Other names
Andover Anesthesia Care Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN HADLEY (CHIEF BUSINESS EXECUTIVE)
(316) 300-4021
Entity
Organization
Contact information
Practice address
1124 W. 21ST ST, ANDOVER, KS 67002
(316) 300-4036
(316) 300-4040
Mailing address
1124 W. 21ST ST, ANDOVER, KS 67002
(316) 300-4036
(316) 300-4040
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF5382
RRMEDICARE
KS
Enumeration date
05/24/2007
Last updated
08/13/2024
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