Individual
JAN M FUNK
Active
Individual
JAN M FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02122
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141080
BCBS PROVIDER NUMBER
KS
Enumeration date
10/05/2006
Last updated
02/10/2026
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