Organization
KANSAS PAIN SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G SOLLO MD (PRESIDENT)
(316) 686-1564
Entity
Organization
Contact information
Practice address
8080 E CENTRAL, SUITE 250, WICHITA, KS 67206-2361
(316) 686-1564
(316) 686-5312
Mailing address
8080 E CENTRAL, SUITE 250, WICHITA, KS 67206-2361
(316) 686-1564
(316) 686-5312
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100446540A
—
KS
01
—
110761
BCBS
KS
01
—
CJ739
RR MC
KS
Enumeration date
09/28/2006
Last updated
02/28/2019
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