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Organization

KANSAS MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KARLETTA PERGESON CPPM (OFFICE MANAGER)
(316) 733-4747
Entity
Organization

Contact information

Practice address
943 N ANDOVER RD, ANDOVER, KS 67002-9795
(316) 733-4747
(316) 733-5253
Mailing address
943 N ANDOVER RD, ANDOVER, KS 67002-9795
(316) 733-4747
(316) 733-5253

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0427794
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100353820F
KS
Enumeration date
03/26/2007
Last updated
11/23/2016
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