Organization
KANSAS MEDICAL CENTER, LLC
Active
Other names
Andover Anesthesia Care Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN HADLEY (CHIEF BUSINESS EXECUTIVE)
(316) 300-4021
Entity
Organization
Contact information
Practice address
1124 W. 21ST ST, ANDOVER, KS 67002
(316) 300-4036
(316) 300-4040
Mailing address
1124 W. 21ST ST, ANDOVER, KS 67002
(316) 300-4036
(316) 300-4040
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF5382
RRMEDICARE
KS
Enumeration date
05/24/2007
Last updated
08/13/2024
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