Organization
KANSAS JOINT & SPINE INSTITUTE, CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SCHLUCK (OFFICE MANAGER)
(316) 858-1900
Entity
Organization
Contact information
Practice address
10100 SHANNON WOODS ST, WICHITA, KS 67226-4103
(316) 858-1900
(316) 858-1905
Mailing address
10100 SHANNON WOODS ST, WICHITA, KS 67226-4103
(316) 858-1900
(316) 858-1905
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11-02260
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07241970
DATE OF BIRTH
KS
Enumeration date
12/01/2008
Last updated
12/01/2008
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