Organization
LOWE & FREYALDENHOVEN MDS CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETTINA LOWE M.D. (PRESIDENT)
(913) 677-2508
Entity
Organization
Contact information
Practice address
7450 KESSLER ST STE 150, OVERLAND PARK, KS 66204-2550
(913) 677-2508
(913) 677-0631
Mailing address
7450 KESSLER ST STE 150, OVERLAND PARK, KS 66204-2550
(913) 677-2508
(913) 677-0631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111071
KS MEDICARE GRP ID
KS
01
—
25956010
BLUE SHIELD OF KANSAS CIT
KS
01
—
CP4282
MEDICARE RAILROAD
KS
01
—
Q670000
MEDICARE GROUP ID
KS
Enumeration date
10/12/2006
Last updated
07/21/2022
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