Organization
KNIGHT TIME MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A SHIELDS CPC, CPC-H (BILLER)
(785) 364-3701
Entity
Organization
Contact information
Practice address
1506 1/2 TAYLOR PLZ E, GARDEN CITY, KS 67846-4055
(620) 271-9400
(620) 271-9201
Mailing address
1506 1/2 TAYLOR PLZ E, PO BOX 1287, GARDEN CITY, KS 67846-4055
(620) 271-9400
(620) 271-9201
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6062814
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000118410
BCBS OF KANSAS
KS
Enumeration date
07/01/2006
Last updated
08/22/2020
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