# PATRIOTMED OF KANSAS, P.A.

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

## Provider details

- **NPI number:** 1982545141
- **Authorized official:** ROBERT SCOTT THORNOCK (CHIEF STRATEGY OFFICER)
- **Authorized official phone:** (480) 369-1270

## Contact information

- **Practice address:** 34 MEDICAL PARK BLVD STE B, PETERSBURG, VA 23805-9283
- **Practice address phone:** (804) 431-5151
- **Practice address fax:** (804) 479-3983
- **Mailing address:** 34 MEDICAL PARK BLVD STE B, PETERSBURG, VA 23805-9283
- **Mailing address phone:** (804) 431-5151
- **Mailing address fax:** (804) 479-3983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/02/2026
- **Last updated:** 07/17/2026
