# KANSAS PAIN CARE GROUPLLC

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

## Provider details

- **NPI number:** 1396278941
- **Authorized official:** BRADLEY DAVID ECK (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (316) 201-9358

## Contact information

- **Practice address:** 4817 E DOUGLAS AVE, SUITE 200, WICHITA, KS 67218-1013
- **Practice address phone:** (316) 201-9358
- **Practice address fax:** (316) 201-9358
- **Mailing address:** 4817 E DOUGLAS AVE, SUITE 200, WICHITA, KS 67218-1013
- **Mailing address phone:** (316) 201-9358
- **Mailing address fax:** (316) 201-9358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | KS | Yes |

## Other

- **Enumeration date:** 04/10/2017
- **Last updated:** 04/10/2017