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Kurtis Edward Echols

Dentist

Dental Providers

22450 S Harrison St, Suite 102, Spring Hill, KS 66083-3151

PECOS Enrollment

This provider is enrolled in PECOS as KURTIS ECHOLS.

Based on the most recent information from CMS, provider Kurtis Edward Echols is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1376539486
Provider Type
Individual
Full Name
Echols, Kurtis Edward
Title
Dr.
Credential
DDS

Gender
Male
Sole Proprietor
No
Enumeration Date
9/23/2005
Last Updated
6/13/2008

Contact Information

Practice Location

22450 S Harrison St, Suite 102, Spring Hill, KS 66083-3151

(913) 592-4149

(913) 592-2107

Mailing Location

22450 S Harrison St, Suite 102, Spring Hill, KS 66083-3151

(913) 592-4191

(913) 592-2107

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 60166 Kansas

Provider Identifiers

ID	Description	Issuer
ID 34501016	Description Other	Issuer BCBS KC Missouri
ID 392598	Description Other	Issuer BCBS Kansas
ID 01645101	Description Other	Issuer UNITED CONCORDIA

Kurtis Edward Echols

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Steven F. Burmaster, Dds, Llc

Kjw Dental, Llc

Walker, Katie Jo

Burmaster, Steven Frederick

Spring Hill Family Dentistry, Pa