Organization
CEP AMERICA - KANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEOPHILE KOURY (PRESIDENT)
(510) 350-2600
Entity
Organization
Contact information
Practice address
3600 E HARRY ST, WICHITA, KS 67218-3713
(316) 268-5000
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
07/20/2023
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