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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