Provider Demographics
NPI:1356787816
Name:PRICHARD, NATHAN ROBERT (DO)
Entity type:Individual
Prefix:
First Name:NATHAN
Middle Name:ROBERT
Last Name:PRICHARD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW BLVD., MAILSTOP 4015
Mailing Address - Street 2:UNIVERSITY OF KANSAS MEDICAL CENTER-PSYCHIATRY
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-6400
Mailing Address - Fax:913-588-6414
Practice Address - Street 1:3901 RAINBOW BLVD., MAILSTOP 4015
Practice Address - Street 2:UNIVERSITY OF KANSAS MEDICAL CENTER-PSYCHIATRY
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-6400
Practice Address - Fax:913-588-6414
Is Sole Proprietor?:No
Enumeration Date:2013-05-10
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS94-08069390200000X
KS05-400302084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry