Organization
KANSAS PAIN CARE GROUPLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY DAVID ECK (AUTHORIZED OFFICIAL)
(316) 201-9358
Entity
Organization
Contact information
Practice address
4817 E DOUGLAS AVE, SUITE 200, WICHITA, KS 67218-1013
(316) 201-9358
(316) 201-9358
Mailing address
4817 E DOUGLAS AVE, SUITE 200, WICHITA, KS 67218-1013
(316) 201-9358
(316) 201-9358
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
KS
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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