Kansas Regenerative Medicine Center

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

KANSAS REGENERATIVE MEDICINE CENTER

Practice address

4809 Vue Du Lac PL Ste 101
Manhattan, KS 66503-8678

Phone

(785) 320-4700

Fax

(785) 320-4704

NPI assigned

Jun 15, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ken Woods

Title

Ceo

Phone

(785) 320-4700

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank C Lyons Jr., MD

  • Legal Medicine
  • Manhattan, KS
  • NPI 1346233657
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1144898123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 VUE DU LAC PL STE 101",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665038678",
            "telephone_number": "785-320-4700",
            "fax_number": "785-320-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 VUE DU LAC PL STE 101",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665038678",
            "telephone_number": "785-320-4700",
            "fax_number": "785-320-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS REGENERATIVE MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-320-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Kampfe, LSCWW
• Karen Kann, LMSW
• Kansas CVS Pharmacy LLC (CVS Pharmacy #16942)
• Kansas Dialysis Services LC
• Kansas Psychiatric and Wellness Services (Kpaws)
• Kansas State Univeristy
• Kansas State University (KSU Speech & Hearing Center)
• Kansas State University (Lafene Health Center)
• Kansas State University (KSU Audiology Department)
• Kansas State University (KSU Family Center)

• Pain Clinic/Center in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Pain Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.