Provider Demographics
NPI:1780899872
Name:STATE OF KANSAS
Entity type:Organization
Organization Name:STATE OF KANSAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-296-4252
Mailing Address - Street 1:714 SW JACKSON ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66603-3721
Mailing Address - Country:US
Mailing Address - Phone:785-296-4213
Mailing Address - Fax:785-296-1412
Practice Address - Street 1:714 SW JACKSON ST
Practice Address - Street 2:SUITE 300
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66603-3721
Practice Address - Country:US
Practice Address - Phone:785-296-4213
Practice Address - Fax:785-296-1412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare