Organization
KANSAS CITY KIDNEY SPECIALISTS
Active
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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