| NPI | 1780922773 |
|---|---|
| Doing Business As | CENTRAL KANSAS MEDICAL PARK ANCILLARY SERVICE |
| Entity Type | Organization |
| Authorized Contact | ROBERT E BAUM Administrator 620-792-5341 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KS 17D0452731) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KS 106062) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2016-03-10 |