Mid-Kansas Wound Specialist P A

LBN: Mid-Kansas Wound Specialist P A
Mid-Kansas Wound Specialist P A is an health care organization with primary practice located at 10346 E Stonegate Ln Ste 100 , Wichita KS 67206-2054. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as the primary health care specialty. Mid-Kansas Wound Specialist P A can be contacted via phone (316) 910-0024, or through Gooden, Justin via phone (972) 786-4990.

Contact Information

Primary practice address
10346 E Stonegate Ln Ste 100 Wichita KS 67206-2054
Phone: (316) 910-0024
Fax: (316) 910-0023
Website:
Map and Directions
Authorized official contact:
Name: Gooden, Justin
Phone: (972) 786-4990

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X

Profile Details

NPI number 1326076977
LBN Legal business name Mid-Kansas Wound Specialist P A
DBA Doing business as
Authorized official Gooden, Justin
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2006
Last updated Oct 19th, 2023 - about 2 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 1326076977 NPPES
Kansas Other CI6093 RAILROAD MEDICARE
Kansas Other 110380 RAILROAD MEDICARE

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