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Organization

KANSAS MEDICAL SPECIALISTS PA

Active
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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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