Organization
WESTERN KANSAS MEDICAL PC
Active
Other names
Ear Nose & Throat Clinic of Western Kansas
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A BLACK DO (OWNER)
(785) 628-3131
Entity
Organization
Contact information
Practice address
2517 CANTERBURY, HAYS, KS 67601
(785) 628-3131
(785) 628-3650
Mailing address
2517 CANTERBURY, HAYS, KS 67601
(785) 628-3131
(785) 628-3650
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110270
BC & BS OF KANSAS
KS
Enumeration date
11/10/2006
Last updated
02/02/2015
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