Organization
KANSAS MEDICAL CENTER, LLC
Active
Parent organization
KANSAS MEDICAL CENTER, LLC
Other names
Andover Cardiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
KANSAS MEDICAL CENTER, LLC
Authorized official
MR. STEVEN HADLEY (CHIEF BUSINESS EXECUTIVE)
(316) 300-4021
Entity
Organization
Contact information
Practice address
1124 W 21ST ST, ANDOVER, KS 67002-5500
(316) 300-4000
Mailing address
PO BOX 268938, OKLAHOMA CITY, OK 73126-8938
(316) 300-4021
(316) 300-4040
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111401
BCBSKS
KS
05
—
200408390E
—
KS
Enumeration date
12/21/2007
Last updated
08/13/2024
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