Organization
CENTRAL KANSAS RESPIRATORY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY L WEAVER CRT,RCP (MANAGER)
(620) 910-8944
Entity
Organization
Contact information
Practice address
902 BROADWAY ST, LARNED, KS 67550-2544
(620) 804-6104
Mailing address
902 BROADWAY ST, LARNED, KS 67550-2544
(162) 080-4610
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1221
KS
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118499
BLUE CROSS BLUE SHIELD
KS
05
—
200548860A
—
KS
Enumeration date
03/10/2008
Last updated
08/04/2022
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