Organization
HOLISTIC PAIN MANAGEMENT OF KANSAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SHEDD CRNA (CEO)
(307) 271-2332
Entity
Organization
Contact information
Practice address
1310 WESTLOOP PL # 198, MANHATTAN, KS 66502-2842
(307) 271-2332
Mailing address
3780 N GARFIELD AVE, SUITE 101, LOVELAND, CO 80538
(307) 250-4953
(833) 923-2295
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/20/2022
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