Organization
KC PAIN CENTERS, LLC
Active
Parent organization
ANESTHESIA ASSOCIATES OF KANSAS CITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANESTHESIA ASSOCIATES OF KANSAS CITY
Authorized official
RYAN J. GRINDSTAFF MD, PHD (PRESIDENT)
(913) 428-2900
Entity
Organization
Contact information
Practice address
200 NE MISSOURI RD, SUITE 103, LEES SUMMIT, MO 64086-4722
(816) 763-1559
(816) 965-8404
Mailing address
8717 W 110TH ST, SUITE 600, OVERLAND PARK, KS 66210-2144
(913) 428-2900
(913) 428-2951
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18971015
BCBS
MO
05
—
509679106
—
MO
01
—
CH6776
RR MEDICARE KCP
MO
01
—
CK2816
RR MEDICARE
MO
01
—
CR0764
RR MEDICARE
MO
01
—
H530000
MEDICARE
MO
Enumeration date
11/04/2005
Last updated
03/24/2021
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