Healthcare Provider Details

I. General information

NPI: 1588142723
Provider Name (Legal Business Name): KANSAS ANESTHESIOLOGY PROFESSIONALS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2018
Last Update Date: 12/20/2022
Certification Date: 12/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10995 QUIVIRA RD STE 150
OVERLAND PARK KS
66210-1207
US

IV. Provider business mailing address

10995 QUIVIRA RD
OVERLAND PARK KS
66210-1207
US

V. Phone/Fax

Practice location:
  • Phone: 913-339-9437
  • Fax: 913-339-9538
Mailing address:
  • Phone: 913-339-9437
  • Fax: 913-339-9538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHRISTY LENARDSON
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 913-339-9437