Individual
NANCY R TILSON-MALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-6660
(816) 404-6661
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
(816) 218-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-23033
KS
207R00000X
Internal Medicine Physician
R2K27
MO
208M00000X
Hospitalist Physician
Primary
2013039025
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202938445
—
MO
Enumeration date
10/31/2005
Last updated
09/06/2016
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