Individual
DR. NICHOLAS S HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-3961
(913) 588-3867
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
04-42620
KS
2080P0210X
Pediatric Nephrology Physician
2020009023
MO
Other
Enumeration date
07/21/2010
Last updated
11/26/2025
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