Organization
KANSAS SPECIALTY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY A CLAYTON (PRESIDENT)
(620) 221-6040
Entity
Organization
Contact information
Practice address
814 MAIN ST, WINFIELD, KS 67156-2835
(620) 221-6040
(620) 221-6041
Mailing address
814 MAIN ST, WINFIELD, KS 67156-2835
(620) 221-6040
(620) 221-6041
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100443340A
—
KS
01
—
118009
BCBS PROVIDER NUMBER
KS
01
—
506996
HPK PROVIDER NUMBER
KS
01
—
6827
PPK PROVIDER NUMBER
KS
Enumeration date
10/02/2006
Last updated
10/03/2019
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