Organization
KOER MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONTESSA MARIE SMALL (BILLING CLERCK)
(316) 518-0391
Entity
Organization
Contact information
Practice address
2250 N ROCK RD, #118-243, WICHITA, KS 67226-2325
(316) 650-4817
Mailing address
2250 N ROCK RD, #118-243, WICHITA, KS 67226
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48403
BCBS
KS
Enumeration date
05/08/2007
Last updated
08/22/2020
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