Provider Demographics
NPI:1134665458
Name:KANSAS CLINICAL IMPROVEMENT COLLABORATIVE, LLC
Entity Type:Organization
Organization Name:KANSAS CLINICAL IMPROVEMENT COLLABORATIVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-650-2860
Mailing Address - Street 1:2501 E 13TH ST
Mailing Address - Street 2:BUILDING 1, SUITE 1
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2764
Mailing Address - Country:US
Mailing Address - Phone:785-650-2860
Mailing Address - Fax:
Practice Address - Street 1:2501 E 13TH ST
Practice Address - Street 2:BUILDING 1, SUITE 1
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2764
Practice Address - Country:US
Practice Address - Phone:785-650-2860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty