Provider Demographics
NPI:1295378156
Name:KANSAS UNIVERSITY PHYSICIANS, INC.
Entity Type:Organization
Organization Name:KANSAS UNIVERSITY PHYSICIANS, INC.
Other - Org Name:SPRINT CENTER URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RETA
Authorized Official - Middle Name:
Authorized Official - Last Name:STUDNICKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-588-6629
Mailing Address - Street 1:11300 CORPORATE AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1355
Mailing Address - Country:US
Mailing Address - Phone:913-588-6111
Mailing Address - Fax:
Practice Address - Street 1:4000 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8501
Practice Address - Country:US
Practice Address - Phone:913-588-1227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KANSAS UNIVERSITY HEALTH AUTHORITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-23
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty