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

Southeast Kansas Medical Associates

Organization Internal Medicine Physician · NPI 1184736563

Southeast Kansas Medical Associates is an Internal Medicine Physician in Coffeyville, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1501 W 4th St
Coffeyville, KS 67337-3307
Phone: (620) 251-2400
Fax: (620) 251-1619
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 44318 (KS)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0420630 (KS)

Record details

NPI number1184736563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerome Block — Owner · (620) 251-2400
NPI enumeratedAugust 31, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1501 W 4th St, Coffeyville, KS 67337-3307

Other providers in Coffeyville