Provider Demographics
NPI:1447627070
Name:VOLL, RONALD
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:VOLL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10560 BARKLEY ST
Mailing Address - Street 2:SUITE 340
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1862
Mailing Address - Country:US
Mailing Address - Phone:913-601-5269
Mailing Address - Fax:
Practice Address - Street 1:10560 BARKLEY ST
Practice Address - Street 2:SUITE 340
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1862
Practice Address - Country:US
Practice Address - Phone:913-601-5269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1243101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)