Individual
STEPHEN LONGSHORE AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7400 STATE LINE RD, PRAIRIE VILLAGE, KS 66208-3444
(913) 588-6600
(913) 588-6655
Mailing address
7400 STATE LINE RD, PRAIRIE VILLAGE, KS 66208-3444
(913) 588-0831
(913) 588-6655
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
91372
GA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
04-47757
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
12/07/2023
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