Organization
SOUTHEAST KANSAS MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME BLOCK M.D. (OWNER)
(620) 251-2400
Entity
Organization
Contact information
Practice address
1501 W 4TH ST, COFFEYVILLE, KS 67337-3307
(620) 251-2400
(620) 251-1619
Mailing address
1501 W 4TH ST, COFFEYVILLE, KS 67337-3307
(620) 251-2400
(620) 251-1619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0420630
KS
363L00000X
Nurse Practitioner
Primary
44318
KS
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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