MEDICARE: KANSAS UNIVERSITY PHYSICIANS INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207ZC0500X	Cytopathology Physician
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician
3	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	09522022	OTHER	MO	BCBS KC GRP NUMBER
3	060940	OTHER	KS	BCBS KS GRP NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861538795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KANSAS UNIVERSITY PHYSICIANS INC

Provider Business Mailing Address
First Line	:	3901 RAINBOW BLVD
Second Line	:	4070 DELP MAIL STOP 4017
City	:	KANSAS CITY
State	:	KS
Zip	:	66160
Country	:	US
Telephone Number	:	913-588-7070
Fax Number	:

Provider Business Practice Location Address
First Line	:	2017 WAHL HALL WEST
Second Line	:	MAIL STOP 3045 3901RAINBOW BLVD
City	:	KANSAS CITY
State	:	KS
Zip	:	66160
Country	:	US
Telephone Number	:	913-588-7070
Fax Number	:

Authorized Official
Title or Position	:	DEPARTMENT ADMINSTRATOR
Name	:	SUZANNE SCOTT
Credential	:
Telephone Number	:	913-588-7070

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	08/05/2010

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Directions to “KANSAS UNIVERSITY PHYSICIANS INC ” Practice Location

Language	Start Address	Practice Location

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