Organization
KANSAS JOINT & SPINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BROCK-BAKER (CEO)
(316) 771-4009
Entity
Organization
Contact information
Practice address
10100 SHANNON WOODS, WICHITA, KS 67226
(316) 858-1900
(316) 858-1905
Mailing address
10100 SHANNON WOODS, WICHITA, KS 67226
(316) 858-1900
(316) 858-1905
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100407900A
—
KS
Enumeration date
02/08/2006
Last updated
11/14/2012
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