Organization
CENTRAL KANSAS MEDICAL CENTER
Active
Other names
St Joseph Family Medicine/Great Bend
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT TAYLOR (CEO)
(620) 786-6101
Entity
Organization
Contact information
Practice address
3520 LAKIN AVE, SUITE 103, GREAT BEND, KS 67530-3646
(620) 792-3345
(620) 792-3767
Mailing address
3520 LAKIN AVE, SUITE 103, GREAT BEND, KS 67530-3646
(620) 792-3767
(620) 792-3767
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080680D
—
KS
Enumeration date
05/12/2006
Last updated
10/07/2011
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