Organization
CENTRAL KANSAS MEDICAL CENTER
Active
Other names
Thomas W. Wilder, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON L. LIND (CEO)
(620) 786-6101
Entity
Organization
Contact information
Practice address
3520 LAKIN AVE, STE 102, GREAT BEND, KS 67530-3660
(620) 792-1227
(620) 792-8029
Mailing address
PO BOX 400, GREAT BEND, KS 67530-0400
(620) 786-6475
(620) 786-6155
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069640I
—
KS
Enumeration date
05/06/2009
Last updated
06/17/2009
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