| Organization Name: | HEALTH CARE ASSOCIATES OF SOUTHEAST KANSAS, LLC |
| NPI Number: | 1104819176 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARRY CURTIS PHILLIPS (NURSE PRACTITIONER/OWNER) |
| Mailing Address: | 2205 W 8th St Coffeyville |
| State: | KS US |
| Postal Code: | 673372936 |
| Phone Number: | 6202516668 |
| Fax Number: | 6202516675 |
| NPI Enumeration Date: | 08/25/2005 |
| NPI Last Update Date: | 08/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 44088 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |