Individual ProviderKristen FunkHospitalistAllopathic & Osteopathic PhysiciansPractice Address3901 Rainbow Blvd, Kansas City, KS 66160-8500(913) 588-3974PECOS EnrollmentBased on the most recent information from CMS, provider Kristen Funk is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1144781030Provider TypeIndividualFull NameFunk, KristenCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/25/2019Last Updated6/28/2022Contact InformationPractice LocationPractice Address3901 Rainbow Blvd, Kansas City, KS 66160-8500Phone(913) 588-3974Fax(913) 588-6055Mailing LocationMailing Address3901 Rainbow Blvd, Kansas City, KS 66160-8500Phone(913) 588-3974Fax(913) 588-6055Provider TaxonomiesCodeDescriptionLicenseCode208M00000XPrimaryDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense0446172KansasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer