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General NPI Number Information
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NPI Number | 1851327043
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Entity Type | Individual
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Provider Name | VELLO KASS MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 07/09/2012
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Provider Practice Location Address
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Address Line | 720 MEDICAL CENTER DR
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City | NEWTON
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State | KS
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Zip | 67114-8778
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Country | US
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Telephone | 316-284-5160
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Fax | 316-284-5115
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Provider Business Mailing Address
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Address Line | PO BOX 8035
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City | WICHITA
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State | KS
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Zip | 67208-0035
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Country | US
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Telephone | 316-689-9135
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Fax | 316-689-9102
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25602
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License Number State | KS
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