Kansas Pain and Wellness LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

4301095882 Issued in KS

Legal business name

KANSAS PAIN AND WELLNESS LLC

Practice address

715 Southwind Dr
Junction City, KS 66441-9021

Phone

(785) 530-5505

Fax

(785) 530-6885

NPI assigned

Mar 28, 2017

Last updated

Jan 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher L Southwick, MD

Title

President

Phone

(785) 530-5505

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1407388739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SOUTHWIND DR",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664419021",
            "telephone_number": "785-530-5505",
            "fax_number": "785-530-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SOUTHWIND DR",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664419021",
            "telephone_number": "785-530-5505",
            "fax_number": "785-530-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS PAIN AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "SOUTHWICK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-530-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KS",
            "license": "4301095882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Junction City, KS
• Providers in Junction City, KS by specialty
• Pain Medicine (Anesthesiology) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.