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General NPI Number Information
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NPI Number | 1033628243
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Entity Type | Organization
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Legal Business Name | KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C.
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 3223 N WEBB RD STE 3
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City | WICHITA
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State | KS
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Zip | 67226-8176
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Country | US
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Telephone | 316-462-5000
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Fax | 316-462-5345
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Provider Business Mailing Address
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Address Line | 3333 N WEBB RD
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City | WICHITA
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State | KS
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Zip | 67226-8123
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Country | US
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Telephone | 316-462-5338
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Fax | 316-462-5345
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Authorized Official
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Title or Position | OFFICER AND AUTHORIZED OFFICIAL
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Name | JENNIFER BOYD BALDOCK
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Credential |
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Telephone | 615-234-5954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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