Organization
KANSAS CITY KIDNEY CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN M LUSTIG M.D. (PRESIDENT)
(816) 531-0552
Entity
Organization
Contact information
Practice address
4320 WORNALL RD STE 208, KANSAS CITY, MO 64111-5964
(816) 531-0552
(816) 756-2503
Mailing address
4320 WORNALL RD STE 208, KANSAS CITY, MO 64111-5964
(816) 531-0552
(816) 756-2503
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501081905
—
MO
Enumeration date
09/15/2006
Last updated
05/06/2022
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