KC Pain Care Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KC PAIN CARE GROUP LLC

Practice address

11233 Nall Ave Ste 100
Leawood, KS 66211-1638

Phone

(918) 808-5328

NPI assigned

Jul 30, 2018

Organization subpart

No

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

Authorized official

Name

Courtney Patterson-Manfredi, APRN

Title

Aprn

Phone

(918) 808-5328

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1184102485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11233 NALL AVE STE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111638",
            "telephone_number": "918-808-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11233 NALL AVE STE 100",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111638",
            "telephone_number": "918-808-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC PAIN CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "PATTERSON-MANFREDI",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "918-808-5328",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Leawood, KS
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.