Provider Demographics
NPI:1699584839
Name:CENTRAL KANSAS RESPIRATORY SERVICES LLC
Entity type:Organization
Organization Name:CENTRAL KANSAS RESPIRATORY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROWENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-804-6104
Mailing Address - Street 1:902 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:LARNED
Mailing Address - State:KS
Mailing Address - Zip Code:67550-2544
Mailing Address - Country:US
Mailing Address - Phone:620-804-6104
Mailing Address - Fax:620-804-6302
Practice Address - Street 1:902 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:LARNED
Practice Address - State:KS
Practice Address - Zip Code:67550-2544
Practice Address - Country:US
Practice Address - Phone:620-804-6104
Practice Address - Fax:620-804-6302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies