Kansas Pediatric Neurology Center Llc

LBN: Kansas Pediatric Neurology Center Llc
Kansas Pediatric Neurology Center Llc is an health care organization with primary practice located at 10111 E 21St St N Ste 405 , Wichita KS 67206-3508. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is the primary health care specialty. Kansas Pediatric Neurology Center Llc can be contacted via phone (316) 796-5610, or through El-Nabbout, Bassem via phone (316) 253-8090.

Contact Information

Primary practice address
10111 E 21St St N Ste 405 Wichita KS 67206-3508
Phone: (316) 796-5610
Fax: (316) 796-5611
Website:
Map and Directions
Authorized official contact:
Name: El-Nabbout, Bassem Doctor of Medicine (MD)
Phone: (316) 253-8090

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X

Profile Details

NPI number 1184281131
LBN Legal business name Kansas Pediatric Neurology Center Llc
DBA Doing business as
Authorized official El-Nabbout, Bassem Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2019
Last updated May 24th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184281131 NPPES
Kansas MEDICAID PENDING

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