# KANSAS MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Andover Anesthesia Care Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952512832
- **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) 300-4036
- **Practice address fax:** (316) 300-4040
- **Mailing address:** 1124 W. 21ST ST, ANDOVER, KS 67002
- **Mailing address phone:** (316) 300-4036
- **Mailing address fax:** (316) 300-4040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 08/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DF5382 | RRMEDICARE | KS |