NPI 1619579794

Ks Iom LLC

Organisation Surgical Technologist Andover, KS

Practice location

Address: 918 E Lakecrest Dr, Andover, KS 67002-9343
Phone: (918) 895-7680
Fax: (918) 236-4646
Mailing address: PO Box 720762, Norman, OK 73070-4590

Authorised official

Name: Valerie Shehan
Title: Billing
Phone: (918) 895-7680

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X

Other Specialist/Technologist, Other providers in Kansas →

Registry record

NPI: 1619579794
Entity type: Organization
NPI issued: 12 Nov 2020
Record last updated: 18 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.