Organization
KANSAS CITY KIDNEY SPECIALISTS
Active
Other names
Kansas City Kidney Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAREK DARWISH MD (PHYSICIAN)
(913) 495-5517
Entity
Organization
Contact information
Practice address
11661 COLLEGE BLVD, OVERLAND PARK, KS 66210
(913) 495-5517
(913) 495-5518
Mailing address
12705 W 161ST ST STE 210, OVERLAND PARK, KS 66221-8641
(913) 495-5517
(913) 495-5518
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
04-37625
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-37625
NEPHROLOGY
KS
01
—
0437625
STATE MEDICAL LICENSE
KS
01
—
1790712750
INDIVIDUAL NPI
—
Enumeration date
06/08/2018
Last updated
08/22/2018
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