Provider Demographics
NPI:1609100668
Name:CHIEF STATS INC
Entity Type:Organization
Organization Name:CHIEF STATS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENT
Authorized Official - Middle Name:B
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-300-5928
Mailing Address - Street 1:6249 E 21ST ST N
Mailing Address - Street 2:STE 120-303
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-1861
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6249 E 21ST ST N
Practice Address - Street 2:STE 120-303
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-1861
Practice Address - Country:US
Practice Address - Phone:316-300-5928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0415991207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty