Individual
MICHAEL J. KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3901 RAINBOW BLVD, PROFESSIONAL SERVICES OF KU HOSPITAL, KANSAS CITY, KS 66160-0001
(913) 588-7743
(913) 588-9786
Mailing address
2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED. STE 312, WESTWOOD, KS 66205-2005
(913) 588-9000
(913) 588-9822
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-00790
KS
363AS0400X
Surgical Physician Assistant
Primary
15-00790
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001686200
CHP PROVIDER NUMBER
—
01
—
928281
FIRSTGUARD
—
Enumeration date
08/31/2006
Last updated
11/14/2007
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