Individual
VELLO KASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 MEDICAL CENTER DR, NEWTON, KS 67114-8778
(316) 284-5160
(316) 284-5115
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25602
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100175470C
—
KS
01
—
102033
BCBS
KS
01
—
12149439
MULTIPLAN
KS
01
—
123898
COVENTRY
KS
01
—
201546
HPK
KS
01
—
5093
PHS
KS
Enumeration date
06/23/2006
Last updated
07/09/2012
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