Provider Demographics
NPI:1417012121
Name:KANSAS PATHOLOGY CONSULTANTS, PA
Entity Type:Organization
Organization Name:KANSAS PATHOLOGY CONSULTANTS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WARD
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-681-2741
Mailing Address - Street 1:7829 E ROCKHILL ST STE 400
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3915
Mailing Address - Country:US
Mailing Address - Phone:316-681-2741
Mailing Address - Fax:316-681-0151
Practice Address - Street 1:7829 E ROCKHILL ST STE 400
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3915
Practice Address - Country:US
Practice Address - Phone:316-681-2741
Practice Address - Fax:316-681-0151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic PathologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSG18557Medicare UPIN
KSB68843Medicare UPIN