Provider Demographics
NPI:1366626103
Name:CENTRAL KANSAS ENT ASSOCIATES, PA
Entity Type:Organization
Organization Name:CENTRAL KANSAS ENT ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-823-7225
Mailing Address - Street 1:520 S SANTA FE AVE
Mailing Address - Street 2:SUITE 200A
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-4190
Mailing Address - Country:US
Mailing Address - Phone:785-823-7225
Mailing Address - Fax:785-823-1017
Practice Address - Street 1:520 S SANTA FE AVE
Practice Address - Street 2:SUITE 200A
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-4190
Practice Address - Country:US
Practice Address - Phone:785-823-7225
Practice Address - Fax:785-823-1017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSGS1962OtherMEDICARE RAILROAD