Central Kansas Medical Center

Organization Clinical Pathology/Laboratory Medicine Physician · NPI 1770834806

Central Kansas Medical Center provides Clinical Pathology/Laboratory Medicine Physician services in Great Bend, Kansas. Registered with an NPI since 2012.

In the registry since: 2012

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Practice location Address checks out

3515 Broadway Ave
Great Bend, KS 67530-3633 Not confirmed with CMS for 14 years — call before visiting
Phone: (620) 792-2511

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Pathology/Laboratory Medicine Physician (primary)	Taxonomy 207ZP0105X

Record details

NPI number	1770834806
Entity type	Organization (Type 2)
Organization subpart	Yes
Parent organization	Central Kansas Medical Center Dba St Rose Ambulatory & Surgery Center
Authorized official	Amanda Vaughan — Cfo · (620) 272-2222
Other names	St Rose Anesthesia Pathology Services
NPI enumerated	September 28, 2012
Last updated in NPPES	September 28, 2012
Mailing address	Po Box 388, Newton, KS 67114-0388