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KANSAS KIDS HEART CENTER PA NPI 1730402645


NPI Information

NPI: 1730402645
Provider Name: KANSAS KIDS HEART CENTER, PA
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
7015 E. CENTRAL
SUITE 2
WICHITA, KS
ZIP 67206
Phone: (316) 440-8800
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KANSAS KIDS HEART CENTER, PA is a pediatric cardiology pediatrics in Wichita, KS. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. KANSAS KIDS HEART CENTER, PA NPI is 1730402645. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7015 E. CENTRAL
SUITE 2
WICHITA, KS
ZIP 67206-946
Phone: (316) 440-8800
Fax: (316) 440-8802

The provider's authorized official is Mohamad K Al-ahdab .
The authorized official title is President and has the following contact phone number (316) 440-8800.

The enumeration date for this NPI number is 3/5/2010 and was last updated on 3/19/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0200XNurse PractitionerPediatrics44567KANSASNo
22080P0202XPediatricsPediatric Cardiology04-32074KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11336172014OTHERKANSASNPI
21033133576OTHERKANSASNPI

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: 4/28/2024

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