Organization
ORTHOKANSAS, LLC
Active
Other names
OrthoKansas, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE SWAN (ADMINISTRATOR)
(785) 838-7848
Entity
Organization
Contact information
Practice address
1112 W 6TH ST, SUITE 124, LAWRENCE, KS 66044-2215
(785) 843-9125
(785) 843-3176
Mailing address
1112 W 6TH ST, SUITE 124, LAWRENCE, KS 66044-2215
(785) 843-9125
(785) 843-3176
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212340A
—
KS
Enumeration date
06/02/2006
Last updated
12/05/2016
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