Search › Kansas › 104100000X

Andrew Funk

NPI 1134953193 · on the registry since 2024 · sole proprietor

Practice

Address
11120 W 65th St
Shawnee, KS 66203
Phone
(913) 826-4100
Clinicians at this address
5

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
101YA0400X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas