Provider Demographics
NPI:1609856855
Name:KANSAS ANESTHESIA SERVICES LLC
Entity Type:Organization
Organization Name:KANSAS ANESTHESIA SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTCHINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:316-685-6236
Mailing Address - Street 1:PO BOX 3518
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-3518
Mailing Address - Country:US
Mailing Address - Phone:316-685-6236
Mailing Address - Fax:316-652-0340
Practice Address - Street 1:3601 N WEBB RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-8129
Practice Address - Country:US
Practice Address - Phone:316-685-6236
Practice Address - Fax:316-652-0340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Not Answered207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DB2572OtherRAILROAD MEDICARE
KS110995OtherBCBS
DB2572OtherRAILROAD MEDICARE
KS=========OtherTRICARE