Organization
SOUTHEAST KANSAS ORTHOPEDIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M MOSIER M.D. (PRESIDENT)
(620) 421-0881
Entity
Organization
Contact information
Practice address
1902 SOUTH HIGHWAY 59, BLDG D, PARSONS, KS 67357
(620) 421-0881
(620) 421-8391
Mailing address
PO BOX 678, PARSONS, KS 67357
(620) 421-0881
(620) 421-8391
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
KS0415445
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016425
BCBS
KS
05
—
100214200A
—
KS
01
—
CT1603
RAILROAD MEDICARE
KS
Enumeration date
02/21/2007
Last updated
05/16/2024
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