Organization
SOUTHEAST KANSAS ORTHOPEDICS & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH SUE KING (CORP OFFICER OWNER OFFICE MANAGER)
(620) 431-0887
Entity
Organization
Contact information
Practice address
321 EAST MAIN, CHANUTE, KS 66720
(620) 431-0887
(620) 431-0816
Mailing address
PO BOX 623, 321 EAST MAIN, CHANUTE, KS 66720
(620) 431-0887
(620) 431-0816
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0520120
KS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
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Other
Enumeration date
08/24/2005
Last updated
09/11/2025
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