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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