Organization
CENTRAL KANSAS MEDICAL CENTER
Active
Organization
CENTRAL KANSAS MEDICAL CENTER
Active
Other names
Great Bend Internists
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT TAYLOR (CEO)
(620) 786-6101
Entity
Organization
Contact information
Practice address
3515 BROADWAY AVE, SUITE 107, GREAT BEND, KS 67530-3633
(620) 786-6184
(620) 793-6014
Mailing address
3515 BROADWAY, SUITE 107, GREAT BEND, KS 67530-3657
(620) 793-8429
(620) 793-6014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080680B
—
KS
Enumeration date
05/11/2006
Last updated
10/07/2011
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