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Organization

CITY OF INDEPENDENCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID JAMES COWAN MICT-LPN (DIRECTOR OF PUBLIC SAFETY)
(620) 332-2528
Entity
Organization

Contact information

Practice address
120 N 6TH ST, INDEPENDENCE, KS 67301-3759
(620) 332-2528
(620) 331-1628
Mailing address
120 N 6TH ST, INDEPENDENCE, KS 67301-3759
(620) 332-2528
(620) 331-1628

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
850
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
I00091830A
KS
Enumeration date
06/15/2005
Last updated
11/20/2012
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