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General NPI Number Information
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NPI Number | 1326912064
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Entity Type | Organization
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Legal Business Name | RADIANT HEALTH KC LLC
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Dates
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Enumeration Date | 10/04/2025
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 14021 W 95TH ST
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City | LENEXA
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State | KS
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Zip | 66215-5206
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Country | US
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Telephone | 913-481-1236
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Fax |
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Provider Business Mailing Address
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Address Line | 14021 W 95TH ST
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City | LENEXA
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State | KS
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Zip | 66215-5206
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR/OWNER
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Name | DR. ZACHARY KRUMSICK
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Credential | MD
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Telephone | 620-249-9848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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