Organization
KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C.
Active
Other names
Kansas Spine & Specialty Hospital Pain Center, Kansas Spine & Specialty Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
3223 N WEBB RD STE 3, WICHITA, KS 67226-8176
(316) 462-5000
(316) 462-5345
Mailing address
3333 N WEBB RD, WICHITA, KS 67226-8123
(316) 462-5338
(316) 462-5345
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200257840A
—
KS
Enumeration date
09/20/2017
Last updated
05/27/2025
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