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Organization

ORTHOPEDIC & SPORTS MEDICINE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIOUX KEARNES (OFFICE MANAGER)
(816) 233-9888
Entity
Organization

Contact information

Practice address
820 RAVENHILL DR, ATCHISON COMMUNITY HOSPITAL, ATCHISON, KS 66002-9268
(816) 233-9888
(816) 233-0414
Mailing address
3107 FREDERICK AVE, SAINT JOSEPH, MO 64506-2911
(816) 233-9888
(816) 233-0414

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04-29855
KS

Other

Enumeration date
10/10/2006
Last updated
10/20/2010
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