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General NPI Number Information
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NPI Number | 1952585341
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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 | 12/21/2007
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Last Update Date | 08/13/2024
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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 | 67002-5500
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Country | US
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Telephone | 316-300-4000
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Fax |
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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