Organization
CENTRAL KANSAS EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L MURPHY (EXECUTIVE VICE PRESIDENT, EPP)
(800) 362-2731
Entity
Organization
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 792-2511
Mailing address
PO BOX 13783, PHILADELPHIA, PA 19101-3783
(800) 444-7009
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111171
BLUE SHIELD
KS
Enumeration date
05/09/2006
Last updated
04/20/2008
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