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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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