OrganizationActive
Cosmetic & Reconstructive Surgery Center, PA
NPI 1659327245 · Ambulatory Surgical Clinic/Center · Wichita, KS
Provider details
- NPI number
- 1659327245
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Conrad, Physician(316) 681-2227
- License
- 0429556 (KS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1700 N Waterfront Pkwy
Building 200
Wichita, KS 67206-6614
Phone: (316) 681-2227
Fax: (316) 684-5250
Approximate (ZIP-level) locationGet directions
Mailing address
1700 N Waterfront Pkwy
Wichita, KS 67206-6614
Other names (DBA / former)
- Other name
- Cosmetic & Reconstructive Surgery Center
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2014-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.