Unknown Individual – Emergency Medical Services (Emergency Medicine) Physician, NPI 1124086384

Unknown Individual is a healthcare provider. based in Liberal, Kansas. specializing in Emergency Medical Services (Emergency Medicine) Physician. They hold a License No. 0427658 (KS). The NPI Number for Unknown Individual is 1124086384

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124086384
Phone
(620) 624-1651
Address
315 W 15TH STREET
Deactivation Date
28 June 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • SouthWest Medical Center, 315, West 15th Street, Liberal, Seward County, Kansas, 67901, United States

    LIBERAL, KS 679051340

    Phone: (620) 624-1651

    Fax: (620) 629-2472

    Type: Location

  • North Country Estates Road, Liberal, Seward County, Kansas, 67901, United States

    LIBERAL, KS 67901

    Phone: (620) 624-3727

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67905)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1124086384 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Liberal, Kansas; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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