Organization
WESTERN KANSAS SURGICAL SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI K SLATER RN (PRACTICE MANAGER)
(620) 792-3777
Entity
Organization
Contact information
Practice address
1400 POLK ST, GREAT BEND, KS 67530-3619
(620) 792-3777
(620) 792-5985
Mailing address
1400 POLK ST, GREAT BEND, KS 67530-3619
(620) 792-3777
(620) 792-5985
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020037172
RAIL ROAD MEDICARE
KS
05
—
100321870A
—
KS
Enumeration date
05/16/2006
Last updated
11/12/2008
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