Organization
KANSAS MEDICAL SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CELESTINE OFOMA MD (PHYSICIAN)
(620) 792-4500
Entity
Organization
Contact information
Practice address
3720 10TH ST, GREAT BEND, KS 67530-3543
(620) 792-4500
(620) 792-4504
Mailing address
PO BOX 1326, GREAT BEND, KS 67530-1326
(620) 792-4500
(620) 792-4504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0429127
KS
Other
Enumeration date
08/05/2009
Last updated
01/27/2011
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