KANSAS PLASTIC SURGERY LLC NPI 1720523251

NPI Information

  • NPI: 1720523251
  • Provider Name: KANSAS PLASTIC SURGERY, LLC
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 10111 E 21ST ST N STE 305
    WICHITA, KS
    ZIP 67206
  • Phone: (316) 305-9618

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NPI Details

KANSAS PLASTIC SURGERY, LLC is a plastic surgery in Wichita, KS. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. KANSAS PLASTIC SURGERY, LLC NPI is 1720523251. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10111 E 21ST ST N STE 305
WICHITA, KS
ZIP 67206-581
Phone: (316) 305-9618
Fax: (316) 440-9701

The provider's authorized official is Kenton W Schoonover .
The authorized official title is Owner and has the following contact phone number (316) 305-9618.

The enumeration date for this NPI number is 12/19/2016 and was last updated on 4/7/2021.

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
1208200000XPlastic Surgery04-27772KANSASYes

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This page was last updated on: 11/21/2025

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