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SOUTHEAST KANSAS MEDICAL ASSOCIATES NPI 1184736563


NPI Information

NPI: 1184736563
Provider Name: SOUTHEAST KANSAS MEDICAL ASSOCIATES
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 17D1064340

Address:
1501 W 4TH ST
COFFEYVILLE, KS
ZIP 67337
Phone: (620) 251-2400
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SOUTHEAST KANSAS MEDICAL ASSOCIATES is an internal medicine in Coffeyville, KS. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SOUTHEAST KANSAS MEDICAL ASSOCIATES NPI is 1184736563. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1501 W 4TH ST
COFFEYVILLE, KS
ZIP 67337-307
Phone: (620) 251-2400
Fax: (620) 251-1619

The provider's authorized official is Jerome Block .
The authorized official title is Owner and has the following contact phone number (620) 251-2400.

The CLIA number assigned to this NPI record is 17D1064340 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine0420630KANSASYes
2363L00000XNurse Practitioner44318KANSASX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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