Healthcare Provider Details

I. General information

NPI: 1316664634
Provider Name (Legal Business Name): KANSAS INFUSION CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2022
Last Update Date: 10/26/2022
Certification Date: 10/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3104 SE BLAZING STAR DR
TOPEKA KS
66609-1568
US

IV. Provider business mailing address

7227 FANNIN ST STE 101
HOUSTON TX
77030-4848
US

V. Phone/Fax

Practice location:
  • Phone: 844-776-7778
  • Fax: 302-689-4826
Mailing address:
  • Phone: 844-776-7778
  • Fax: 302-689-4826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIN SCHNEPF
Title or Position: DIRECTOR OF BILLING
Credential:
Phone: 844-776-7779