Healthcare Provider Details

I. General information

NPI: 1396536975
Provider Name (Legal Business Name): PREMIER HOSPITALISTS OF KANSAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 E 45TH ST N
BEL AIRE KS
67226-8817
US

IV. Provider business mailing address

3515 W CENTRAL AVE
WICHITA KS
67203-4921
US

V. Phone/Fax

Practice location:
  • Phone: 316-755-0144
  • Fax: 844-274-1204
Mailing address:
  • Phone: 316-755-0144
  • Fax: 844-274-1204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH RIAN BURNS
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 316-755-0144