Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cosmetic & Reconstructive Surgery Center, PA

Organization Ambulatory Surgical Clinic/Center · NPI 1659327245

Cosmetic & Reconstructive Surgery Center, PA is an Ambulatory Surgical Clinic/Center in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1700 N Waterfront Pkwy Bldg 200
Wichita, KS 67206-6614
Phone: (316) 681-2227
Fax: (316) 684-5250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 0429556 (KS)

Record details

NPI number1659327245
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Conrad — Physician · (316) 681-2227
Other names Cosmetic & Reconstructive Surgery Center
NPI enumeratedMay 25, 2006
Last updated in NPPESDecember 11, 2014
Mailing address1700 N Waterfront Pkwy, Building 200, Wichita, KS 67206-6614

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