Provider Demographics
NPI:1407857980
Name:HANCE, KIRK A (MD, FACS)
Entity type:Individual
Prefix:DR
First Name:KIRK
Middle Name:A
Last Name:HANCE
Suffix:
Gender:
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7420 SWITZER
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66203-4550
Mailing Address - Country:US
Mailing Address - Phone:913-262-9201
Mailing Address - Fax:913-262-3170
Practice Address - Street 1:7420 SWITZER
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66203-4550
Practice Address - Country:US
Practice Address - Phone:913-262-9201
Practice Address - Fax:913-262-3170
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2025-04-07
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-03-28
Provider Licenses
StateLicense IDTaxonomies
KS04-259302086S0129X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100392350BMedicaid
KS100392350BMedicaid
KSH39439Medicare UPIN