# NORTHWEST KANSAS PAIN & ANESTHESIA, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366547333
- **Authorized official:** DR. KEITH GREEN MD (DOCTOR/OWNER)
- **Authorized official phone:** (785) 628-8300

## Contact information

- **Practice address:** 2210 CANTERBURY DR, RESOURCE BUILDING, HAYS, KS 67601-2370
- **Practice address phone:** (785) 628-8300
- **Practice address fax:** (785) 623-4634
- **Mailing address:** 2210 CANTERBURY DR, RESOURCE BUILDING, HAYS, KS 67601-2370
- **Mailing address phone:** (785) 628-8300
- **Mailing address fax:** (785) 623-4634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 0424431 | KS | Yes |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | 0424431 | KS | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 0424431 | KS | — |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 059329 | BCBS OF KANSAS | KS |