MEDICARE: MEDICAL SPECIALTIES OF KANSAS, L.L.C.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207RP1001X	Pulmonary Disease Physician
3	207Q00000X	Family Medicine Physician
4	207RA0201X	Allergy & Immunology (Internal Medicine) Physician
5	207RC0001X	Clinical Cardiac Electrophysiology Physician
6	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
7	207RG0100X	Gastroenterology Physician
8	207RI0011X	Interventional Cardiology Physician
9	207UN0901X	Nuclear Cardiology Physician
10	208000000X	Pediatrics Physician
11	208D00000X	General Practice Physician
12	207RC0000X	Cardiovascular Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427036086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL SPECIALTIES OF KANSAS, L.L.C.

Provider Business Mailing Address
First Line	:	2600 N WOODLAWN ST
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67220-2729
Country	:	US
Telephone Number	:	316-684-3838
Fax Number	:	316-858-2530

Provider Business Practice Location Address
First Line	:	2600 N WOODLAWN ST
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67220-2729
Country	:	US
Telephone Number	:	316-684-3838
Fax Number	:	316-858-2530

Authorized Official
Title or Position	:	COO, CCO
Name	:	NANCY C KENNEDY
Credential	:	RHIT, CPC, CHC
Telephone Number	:	316-858-2233

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	09/27/2016

Similar Medicare Providers

1003770488 — SIOBHAN HEADMAN
Practice Location Address:

2600 N WOODLAWN BLVD
WICHITA, KS
67220-2729

Practice Phone: 316-838-2883
Practice Fax:

1265431860 — DR. JOHN R WHITEHEAD D.O.
Practice Location Address:

2610 N WOODLAWN BLVD
WICHITA, KS
67220-2729

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1578563169 — MS. PATRICIA E PATTERSON NP
Practice Location Address:

2610 N WOODLAWN ST
WICHITA, KS
67220-2729

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Practice Fax: 316-858-2521

1639151020 — CHARLES HENRY FLETCHER PA-C
Practice Location Address:

2600 N WOODLAWN BLVD
WICHITA, KS
67220-2729

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Practice Fax: 316-858-2521

1366420697 — RICARDO CINIGLIO MD
Practice Location Address:

2600 N WOODLAWN ST
WICHITA, KS
67220-2729

Practice Phone: 316-684-3838
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1447238621 — GALICHIA MEDICAL GROUP, P.A.
Practice Location Address:

2600 N WOODLAWN ST
WICHITA, KS
67220-2729

Practice Phone: 316-684-3838
Practice Fax: 316-858-2530

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