Organization
UNIVERSITY OF KANSAS PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRACKEN MD (SUPERVISOR)
(913) 588-6670
Entity
Organization
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-6670
Mailing address
3901 RAINBOW BLVD # MS 1034, KANSAS CITY, KS 66160-8500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-39841
KS
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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