| Organization Name: | KANSAS PHYSICIANS GROUP, LLC |
| NPI Number: | 1396055117 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN J HARRIS (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 2600 N Woodlawn Blvd Wichita |
| State: | KS US |
| Postal Code: | 672202729 |
| Phone Number: | 3166843838 |
| Fax Number: | 3168582524 |
| NPI Enumeration Date: | 10/14/2010 |
| NPI Last Update Date: | 10/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |