Provider Demographics
NPI:1720205933
Name:BIOMED KANSAS, INC.
Entity Type:Organization
Organization Name:BIOMED KANSAS, INC.
Other - Org Name:SOLEO HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:C
Authorized Official - Last Name:WALK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-765-3648
Mailing Address - Street 1:2801 NETWORK BLVD STE 505
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1895
Mailing Address - Country:US
Mailing Address - Phone:833-765-3648
Mailing Address - Fax:603-718-3824
Practice Address - Street 1:10633 RENE STREET
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215
Practice Address - Country:US
Practice Address - Phone:913-661-0100
Practice Address - Fax:913-906-9098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200437200BMedicaid
KS200437200AMedicaid
KS200437200AMedicaid
KS200437200BMedicaid
KSKA1738Medicare PIN