Organization
KANSAS ORTHOPAEDIC CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZANN TOLBERD (ADMINISTRATOR)
(316) 838-2020
Entity
Organization
Contact information
Practice address
2450 N WOODLAWN BLVD, WICHITA, KS 67220-3902
(316) 838-2020
Mailing address
7550 W VILLAGE CIR, SUITE 1, WICHITA, KS 67205-9363
(316) 838-2020
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
KS
335E00000X
Prosthetic/Orthotic Supplier
—
KS
Other
Enumeration date
05/08/2013
Last updated
12/16/2020
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