Organization
ROCKHILL PAIN SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY ANN DEHARDT RN MBA (BILLING ADMINISTRATOR)
(913) 754-0641
Entity
Organization
Contact information
Practice address
6675 HOLMES RD, KANSAS CITY, MO 64131
(816) 276-7094
(816) 276-7816
Mailing address
10561 BARKLEY, SUITE 610, OVERLAND PARK, KS 66212-1835
(913) 754-0641
(913) 754-0646
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100426990B
—
KS
01
—
2143025
UHC
—
01
—
30200017
BCBS
MO
05
—
505811109
—
MO
01
—
7307424
AETNA
—
01
—
CJ2949
RR MEDICARE
—
Enumeration date
04/17/2006
Last updated
08/17/2011
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