Organization
KANSAS ENDOSCOPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEE NOLTING (DIRECTOR OF OPERATIONS)
(316) 261-3130
Entity
Organization
Contact information
Practice address
3121 N WEBB RD, WICHITA, KS 67226-8119
(316) 261-3130
(316) 261-3275
Mailing address
3121 N WEBB RD, WICHITA, KS 67226-8119
(316) 261-3130
(316) 261-3275
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S087012
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200024650B
—
KS
01
—
S087012
STATE OF KANSAS
KS
Enumeration date
09/01/2005
Last updated
08/03/2022
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