Organization
IMMANUEL BIRTH CO., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY A GREENE (OFFICE ADMINISTRATOR)
(785) 232-6950
Entity
Organization
Contact information
Practice address
1109 SW TOPEKA BLVD, TOPEKA, KS 66612-1602
(785) 232-6950
(785) 232-4722
Mailing address
1109 SW TOPEKA BLVD, TOPEKA, KS 66612-1602
(785) 232-6950
(785) 232-4722
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
0011686-002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100356600A
—
KS
Enumeration date
03/08/2006
Last updated
11/05/2025
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