OrganizationActive
Central Kansas Medical Park Ancillary Services, P.A.
NPI 1710988134 · Clinical Medical Laboratory · Great Bend, KS
Provider details
- NPI number
- 1710988134
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Authorized official
- Perry Smith, President
Practice location
1309 Polk St
Great Bend, KS 67530-3618
Phone: (620) 793-5404
Fax: (620) 792-2665
Mailing address
1309 Polk St
Great Bend, KS 67530-3618
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2013-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.