Organization
KANSAS MEDICAL CLINIC PA
Active
Organization
KANSAS MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MEIER (ADMINISTRATOR)
(785) 295-0956
Entity
Organization
Contact information
Practice address
2200 SW 6TH AVE, TOPEKA, KS 66606-1707
(785) 354-8518
(785) 354-1255
Mailing address
PO BOX 255, MANHATTAN, KS 66505-0255
(785) 232-2284
(785) 232-2285
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000317450B
—
KS
01
—
CN8517
RR MEDICARE
—
Enumeration date
08/11/2006
Last updated
09/27/2022
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