Healthcare Provider Details

I. General information

NPI: 1235579939
Provider Name (Legal Business Name): KANSAS PAIN TREATMENT SPECIALISTS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2013
Last Update Date: 06/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8919 PARALLEL PKWY
KANSAS CITY KS
66112-1636
US

IV. Provider business mailing address

7111 FAIRWAY DR SUITE 450
PALM BEACH GARDENS FL
33418-4204
US

V. Phone/Fax

Practice location:
  • Phone: 913-596-5104
  • Fax:
Mailing address:
  • Phone: 561-623-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT R. FRANTZ JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 913-596-5104