| Kansas Pain Care Groupllc | |
|
4817 E Douglas Ave Suite 200 Wichita KS 67218-1013 | |
| (316) 201-9358 | |
| (316) 201-9358 |
| Full Name | Kansas Pain Care Groupllc |
|---|---|
| Speciality | General Practice |
| Location | 4817 E Douglas Ave, Wichita, Kansas |
| Authorized Official Name and Position | Bradley David Eck (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3162019358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kansas Pain Care Groupllc 4817 E Douglas Ave Suite 200 Wichita KS 67218-1013 Ph: (316) 201-9358 | Kansas Pain Care Groupllc 4817 E Douglas Ave Suite 200 Wichita KS 67218-1013 Ph: (316) 201-9358 |
| NPI Number | 1396278941 |
|---|---|
| Provider Enumeration Date | 04/10/2017 |
| Last Update Date | 04/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396278941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Kansas) | Primary |
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