Healthcare Provider Details

I. General information

NPI: 1255406674
Provider Name (Legal Business Name): VANCE REID BURNS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 W 4TH ST STE 3200
LAWRENCE KS
66044-1346
US

IV. Provider business mailing address

1130 W 4TH ST STE 3200
LAWRENCE KS
66044-1346
US

V. Phone/Fax

Practice location:
  • Phone: 785-505-3205
  • Fax: 785-505-5261
Mailing address:
  • Phone: 785-505-3205
  • Fax: 785-505-5261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number2006026268
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number04-29900
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: