MEDICARE: UNIVERSITY OF KANSAS MEDICAL CENTER DEPARTMENT OF RADIATION ONCOLOGY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1417377532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF KANSAS MEDICAL CENTER DEPARTMENT OF RADIATION ONCOLOGY

Provider Business Mailing Address
First Line	:	8050 W LEITNER DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2012
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8050 W LEITNER DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-2012
Country	:	US
Telephone Number	:	954-326-1723
Fax Number	:

Authorized Official
Title or Position	:	SENIOR COORDNTR. RESIDENCY PROGRA
Name	:	MRS. DENISE RANKIN-MCFIELD
Credential	:
Telephone Number	:	913-588-3610

Provider Enumeration Date	:	04/16/2014
Last Update Date	:	04/16/2014

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