Healthcare Provider Details
I. General information
NPI: 1548563737
Provider Name (Legal Business Name): INPATIENT CONSULTANTS OF KANSAS PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/10/2010
Last Update Date: 11/12/2020
Certification Date: 11/12/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10901 GRANADA LN 200
OVERLAND PARK KS
66211-1470
US
IV. Provider business mailing address
1643 NW 136TH AVE STE 100
SUNRISE FL
33323-2857
US
V. Phone/Fax
- Phone: 913-660-1616
- Fax: 913-660-1664
- Phone: 800-424-3672
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROBERT
RAY
FRANTZ
JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 865-693-1000