Organization
ASSOCIATED EYE SURGICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A KINGREY M.D. (MD)
(316) 263-6273
Entity
Organization
Contact information
Practice address
1100 N TOPEKA ST, WICHITA, KS 67214-2810
(316) 263-6273
(316) 263-5568
Mailing address
1100 N TOPEKA ST, WICHITA, KS 67214-2810
(316) 263-6273
(316) 263-5568
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S087002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100217370A
—
KS
Enumeration date
02/24/2006
Last updated
11/17/2011
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