Organization
KANSAS INPATIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA DENNE (MANAGER)
(316) 269-5000
Entity
Organization
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 268-5000
Mailing address
6120 SHADYBROOK ST, WICHITA, KS 67208-1862
(316) 269-5000
(316) 269-0404
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100459050A
—
KS
01
—
110915
BCBS
KS
01
—
DA2148
RAIL ROAD MEDICARE
KS
Enumeration date
06/21/2006
Last updated
09/14/2009
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