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Organization

CENTRAL KANSAS MEDICAL CENTER

Active
Other names
Central Kansas Surgical Care
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON L. LIND (CEO)
(620) 786-6101
Entity
Organization

Contact information

Practice address
3520 LAKIN AVE, SUITE 102, GREAT BEND, KS 67530-3660
(620) 792-1227
(620) 792-8029
Mailing address
PO BOX 989, GREAT BEND, KS 67530-0989
(620) 786-6475
(620) 786-6155

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100069640J
KS
01
1881634970
BCBSKS PIN
KS
Enumeration date
06/07/2006
Last updated
11/02/2009
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