Organization
CARDIO-KIDNEY VASCULAR OBL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS L. ROSS MD (CHAIRPERSON)
(316) 655-2469
Entity
Organization
Contact information
Practice address
3161 N WEBB RD STE 220, WICHITA, KS 67226-8104
(800) 263-3366
Mailing address
3161 N WEBB RD STE 220, WICHITA, KS 67226-8105
(316) 402-0440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
09/07/2021
Last updated
04/04/2024
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