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Organization

MIDWEST RADIOLOGY INSTITUTE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIPP ALLEN VANCAMP (OWNER/PHYSICIAN)
(913) 745-5300
Entity
Organization

Contact information

Practice address
22740 MIDLAND DR, SHAWNEE, KS 66226-3553
(913) 745-5300
(913) 745-5530
Mailing address
22740 MIDLAND DR, SHAWNEE, KS 66226-3553
(913) 745-5300
(913) 745-5530

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0525311
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100234960J
KS
01
111397
BCBS
KS
01
DH1928
RR MEDICARE
KS
Enumeration date
01/06/2008
Last updated
03/17/2026
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