Organization · Type 2 NPI

Southeast Kansas Medical Associates

Nurse Practitioner · Coffeyville, KS

NPI number 1184736563 Active

Practice location

1501 W 4th St
Coffeyville, KS 67337-3307

Fax (620) 251-1619

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X0420630 (KS)
Nurse Practitioner Primary 363L00000X44318 (KS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1184736563

Southeast Kansas Medical Associates's National Provider Identifier is 1184736563, issued on Aug 31, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coffeyville, KS. The record was last updated on Sep 11, 2025.