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Central Kansas Medical Center

Surgery in Great Bend, KS. Organization (NPI-2).

NPI number1427282425
StatusActive
Last updated in NPPESJun 17, 2009

Details

NPI
1427282425
Entity type
Organization (NPI-2)
Legal business name
Central Kansas Medical Center
Organization subpart
No
Enumeration date
May 6, 2009
Last updated
Jun 17, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes

Other names

  • Thomas W. Wilder, M.D. (Doing Business As)

Practice location

3520 Lakin Ave
Ste 102
Great Bend, KS 67530-3660

Phone 620-792-1227 · Fax 620-792-8029

Mailing address

Po Box 400
Great Bend, KS 67530-0400

Phone 620-786-6475 · Fax 620-786-6155

Authorized official

Sharon L. Lind
Ceo
6207866101

Is something wrong?

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