Healthcare Provider Details

I. General information

NPI: 1366626103
Provider Name (Legal Business Name): CENTRAL KANSAS ENT ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2007
Last Update Date: 12/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 S SANTA FE AVE SUITE 200A
SALINA KS
67401-4190
US

IV. Provider business mailing address

520 S SANTA FE AVE SUITE 200A
SALINA KS
67401-4190
US

V. Phone/Fax

Practice location:
  • Phone: 785-823-7225
  • Fax: 785-823-1017
Mailing address:
  • Phone: 785-823-7225
  • Fax: 785-823-1017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235500000X
TaxonomySpeech/Language/Hearing Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. CONNIE KARBER
Title or Position: OFFICE MANAGER
Credential:
Phone: 785-823-7225