Healthcare Provider Details

I. General information

NPI: 1437139979
Provider Name (Legal Business Name): KANSAS ORTHOPAEDIC CENTER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 WEST VILLAGE CIRCLE SUITE 1
WICHITA KS
67205
US

IV. Provider business mailing address

7550 WEST VILLAGE CIRCLE SUITE 1
WICHITA KS
67205
US

V. Phone/Fax

Practice location:
  • Phone: 316-838-2020
  • Fax: 316-838-7574
Mailing address:
  • Phone: 316-838-2020
  • Fax: 316-838-7574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: REBECCA HORNECKER
Title or Position: DIRECTOR OF BUSINESS OPERATIONS
Credential:
Phone: 316-838-2020