MEDICARE: KANSAS UNIVERSITY PHYSICIANS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	01528068	OTHER	MO	BCBS KC GRP NUMBER
4	064094	OTHER	KS	BCBS KS GRP NUMBER

General Provider Information

NPI Number	:	1497891329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KANSAS UNIVERSITY PHYSICIANS INC

Provider Business Mailing Address
First Line	:	3901 RAINBOW BLVD
Second Line	:	4070 DELP MAIL STOP 4017
City	:	KANSAS CITY
State	:	KS
Zip	:	66160
Country	:	US
Telephone Number	:	913-588-6673
Fax Number	:

Provider Business Practice Location Address
First Line	:	B430 KU HOSPITAL
Second Line	:	MAIL STOP 4022 3901 RAINBOW BLVD
City	:	KANSAS CITY
State	:	KS
Zip	:	66160
Country	:	US
Telephone Number	:	913-588-6673
Fax Number	:

Authorized Official
Title or Position	:	SENIOR FINANCIAL ANALYST
Name	:	TAMMY LAU
Credential	:
Telephone Number	:	913-588-6673

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	05/20/2008

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Directions to “KANSAS UNIVERSITY PHYSICIANS INC ” Practice Location

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