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General NPI Number Information
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NPI Number | 1801007786
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Entity Type | Organization
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Legal Business Name | KANSAS MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 1124 W. 21ST ST
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City | ANDOVER
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State | KS
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Zip | 67002
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Country | US
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Telephone | 316-300-4000
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Fax | 316-300-4040
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Provider Business Mailing Address
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Address Line | PO BOX 268938
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126-8938
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Country | US
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Telephone | 316-300-4021
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Fax | 316-300-4040
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Authorized Official
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Title or Position | CHIEF BUSINESS EXECUTIVE
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Name | MR. STEVEN HADLEY
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Credential |
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Telephone | 316-300-4021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State | KS
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