MEDICARE: VORDIS GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1568759686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VORDIS GROUP INC

Provider Business Mailing Address
First Line	:	8014 STATE LINE RD
Second Line	:	SUITE 100
City	:	LEAWOOD
State	:	KS
Zip	:	66208-3723
Country	:	US
Telephone Number	:	913-432-2400
Fax Number	:	913-432-2401

Provider Business Practice Location Address
First Line	:	8014 STATE LINE RD
Second Line	:	SUITE 100
City	:	LEAWOOD
State	:	KS
Zip	:	66208-3723
Country	:	US
Telephone Number	:	913-432-2400
Fax Number	:	913-432-2401

Authorized Official
Title or Position	:	OWNER / OPERATOR
Name	:	RODNEY MCNEAL
Credential	:	PHD
Telephone Number	:	913-432-2400

Provider Enumeration Date	:	07/10/2011
Last Update Date	:	03/04/2019

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Directions to “VORDIS GROUP INC ” Practice Location

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