Provider Demographics
NPI:1003016080
Name:AERIUS MEDICAL, LLC
Entity Type:Organization
Organization Name:AERIUS MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:KRAMM
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:913-529-2515
Mailing Address - Street 1:7400 W 130TH ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-2656
Mailing Address - Country:US
Mailing Address - Phone:913-529-2515
Mailing Address - Fax:913-529-2520
Practice Address - Street 1:7400 W 130TH ST
Practice Address - Street 2:SUITE 150
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-2656
Practice Address - Country:US
Practice Address - Phone:913-529-2515
Practice Address - Fax:913-529-2520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5-02246332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies