Organization
KANSAS PLASTIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENTON W SCHOONOVER MD (OWNER)
(316) 305-9618
Entity
Organization
Contact information
Practice address
10111 E 21ST ST N STE 305, WICHITA, KS 67206-3581
(316) 305-9618
(316) 440-9701
Mailing address
10111 E 21ST ST N STE 305, WICHITA, KS 67206-3581
(316) 305-9618
(316) 440-9701
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
04-27772
KS
Other
Enumeration date
12/19/2016
Last updated
04/07/2021
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