Organization
WATERFRONT SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON KINGREY MD (OWNER)
(316) 249-4943
Entity
Organization
Contact information
Practice address
1540 N. LINDBERG CIRCLE, WICHITA, KS 67206
(316) 249-4943
Mailing address
1540 N LINDBERG CIR, WICHITA, KS 67206-6400
(316) 249-4943
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/28/2024
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