Provider Demographics
NPI:1780565663
Name:FLORES, PEDRO ADRIAN
Entity type:Individual
Prefix:
First Name:PEDRO
Middle Name:ADRIAN
Last Name:FLORES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 E CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:NESS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67560-1602
Mailing Address - Country:US
Mailing Address - Phone:785-798-2233
Mailing Address - Fax:
Practice Address - Street 1:312 CUSTER ST
Practice Address - Street 2:
Practice Address - City:NESS CITY
Practice Address - State:KS
Practice Address - Zip Code:67560-1654
Practice Address - Country:US
Practice Address - Phone:785-798-2233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-149833-092163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse