Organization
RICHARD WHITLOW, M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD EUGENE WHITLOW M.D. (OWNER)
(913) 772-8200
Entity
Organization
Contact information
Practice address
1004 PROGRESS DR, SUITE 220, LANSING, KS 66043-6326
(913) 772-8200
Mailing address
24028 131ST ST, LEAVENWORTH, KS 66048-7717
(913) 351-4053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04 21644
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110590
MEDICARE GROUP NUMBER
KS
01
—
CG8165
RAILROAD MEDICARE GROUP
KS
Enumeration date
04/23/2007
Last updated
02/13/2008
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