Healthcare Provider Details

I. General information

NPI: 1609313030
Provider Name (Legal Business Name): C SCOTT OWINGS MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2017
Last Update Date: 01/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S SANTA FE AVE
SALINA KS
67401-4144
US

IV. Provider business mailing address

400 S SANTA FE AVE
SALINA KS
67401-4144
US

V. Phone/Fax

Practice location:
  • Phone: 785-452-7269
  • Fax: 785-452-6008
Mailing address:
  • Phone: 785-452-7269
  • Fax: 785-452-6008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number StateKS

VIII. Authorized Official

Name: CHRISTOPHER SCOTT OWINGS
Title or Position: MD
Credential: MD
Phone: 785-452-7269