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Organization
KANSAS PAIN MANAGEMENT
Active
Organization
KANSAS PAIN MANAGEMENT
Active
Parent organization
KANSAS PAIN MANAGEMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
KANSAS PAIN MANAGEMENT
Authorized official
MICHELLE KAVANAUGH (CREDENTIALING MANAGER)
(913) 339-9437
Entity
Organization
Contact information
Practice address
5675 ROE BLVD STE 210, ROELAND PARK, KS 66205-2515
(913) 339-9437
(913) 339-9538
Mailing address
10995 QUIVIRA RD, OVERLAND PARK, KS 66210-1207
(913) 339-9437
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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