Organization
KANSAS MEDICAL CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER KENNEDY (CREDENTIALING SPECIALIST)
(785) 295-0936
Entity
Organization
Contact information
Practice address
2921 SW WANAMAKER DR, TOPEKA, KS 66614-5328
(785) 272-6860
(785) 272-5839
Mailing address
2200 SW 6TH AVE, SUITE 104, TOPEKA, KS 66606-1707
(785) 354-8518
(785) 354-1255
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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