Central Kansas Medical Park Ancillary Services, P.a.
NPI #1710988134 in Great Bend, Kansas
Provider Information
- NPI Number
- 1710988134
- Entity Type
- Organization
- Organization Name
- Central Kansas Medical Park Ancillary Services, P.a.
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Aug 9, 2005
- Last Updated
- Apr 1, 2013
Practice Location
- Address
- 1309 POLK ST
- City
- Great Bend
- State
- Kansas
- ZIP Code
- 67530-3618
- Phone
- (620) 793-5404
Authorized Official
- Name
- PERRY M SMITH, M.D.
- Title
- PRESIDENT
- Phone
- (620) 793-5404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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