Organization
KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
3333 N WEBB RD, WICHITA, KS 67226-8123
(316) 462-5000
(316) 462-5268
Mailing address
3333 N WEBB RD, WICHITA, KS 67226-8123
(316) 462-5000
(316) 462-5268
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H087012
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200257840A
—
KS
Enumeration date
05/23/2005
Last updated
03/03/2023
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