Provider Demographics
NPI:1982299194
Name:SPIRAS HEALTH OF KANSAS, LLC
Entity Type:Organization
Organization Name:SPIRAS HEALTH OF KANSAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BROOK
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-403-0631
Mailing Address - Street 1:5214 MARYLAND WAY STE 210
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5071
Mailing Address - Country:US
Mailing Address - Phone:615-403-0631
Mailing Address - Fax:
Practice Address - Street 1:5214 MARYLAND WAY STE 210
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5071
Practice Address - Country:US
Practice Address - Phone:615-403-0631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED RESPIRATORY SPECIALISTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty