Provider Demographics
NPI:1003207267
Name:PROFESSIONAL RESEARCH NETWORK OF KANSAS, LLC
Entity Type:Organization
Organization Name:PROFESSIONAL RESEARCH NETWORK OF KANSAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:TALBOT
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:316-838-7700
Mailing Address - Street 1:345 N RIVERVIEW ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-4200
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2260 N RIDGE RD STE 240
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-1138
Practice Address - Country:US
Practice Address - Phone:316-838-7700
Practice Address - Fax:316-838-8770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-10
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch