Provider Demographics
NPI:1386457042
Name:COLOR MEDICAL KANSAS, P.A.
Entity type:Organization
Organization Name:COLOR MEDICAL KANSAS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-312-6914
Mailing Address - Street 1:839 MITTEN RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-1335
Mailing Address - Country:US
Mailing Address - Phone:844-352-6567
Mailing Address - Fax:650-396-3046
Practice Address - Street 1:839 MITTEN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-1335
Practice Address - Country:US
Practice Address - Phone:844-352-6567
Practice Address - Fax:650-396-3046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty