Provider Demographics
NPI:1215703426
Name:CANCER CENTER OF KANSAS, P.A.
Entity type:Organization
Organization Name:CANCER CENTER OF KANSAS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HADSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-613-4296
Mailing Address - Street 1:818 N EMPORIA ST STE 403
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3728
Mailing Address - Country:US
Mailing Address - Phone:316-262-4467
Mailing Address - Fax:
Practice Address - Street 1:9050 E 29TH ST N STE 40
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-2191
Practice Address - Country:US
Practice Address - Phone:316-262-4467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CANCER CENTER OF KANSAS, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology