Provider Demographics
NPI:1760499883
Name:THE PAIN CENTER OF KANSAS
Entity Type:Organization
Organization Name:THE PAIN CENTER OF KANSAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:JK
Authorized Official - Last Name:PAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-235-9100
Mailing Address - Street 1:921 SW 37TH ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66611-2391
Mailing Address - Country:US
Mailing Address - Phone:785-235-9100
Mailing Address - Fax:785-266-3330
Practice Address - Street 1:921 SW 37TH ST
Practice Address - Street 2:SUITE E
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-2391
Practice Address - Country:US
Practice Address - Phone:785-235-9100
Practice Address - Fax:785-266-3330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty