Organization
KOER MEDICAL
Active
Other names
Richard Estivo
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA M WHEELER (RN/OFFICE MGR)
(913) 422-7878
Entity
Organization
Contact information
Practice address
2210 E DOUGLAS AVE, WICHITA, KS 67214-4407
(913) 422-7878
Mailing address
6265 ARAPAHOE ST, SHAWNEE, KS 66226-3239
(913) 422-7878
(913) 422-8877
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048403
BCBS KS
KS
Enumeration date
07/10/2007
Last updated
07/10/2007
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