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Organization

VA EASTERN KANSAS HEALTH CARE SYSTEM

Active
Parent organization
DEPARTMENT OF VETERANS AFFAIRS
Organization subpart
Yes

Provider details

NPI number
Legal business name
DEPARTMENT OF VETERANS AFFAIRS
Authorized official
STEPHANIE DAVIS DO (CHIEF)
(913) 682-2000
Entity
Organization

Contact information

Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100329590A
KS
05
100329590B
KS
05
100329590D
KS
01
141161400
WC
01
141161401
WC
01
141161402
WC
01
141161403
WC
01
25572016
BCBS
MO
05
502186703
MO
Enumeration date
09/26/2006
Last updated
07/27/2026
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