Organization
NANCY B ISRAEL, MD, LLC
Active
Other names
NANCY ISRAEL, MD
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY B ISRAEL MD (PRESIDENT)
(913) 681-5871
Entity
Organization
Contact information
Practice address
15144 PAWNEE CIR, LEAWOOD, KS 66224-3832
(913) 681-5871
(913) 897-2166
Mailing address
PO BOX 23563, SHAWNEE MISSION, KS 66283-0563
(913) 248-9693
(913) 248-9383
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
105698
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100360780B
—
KS
01
—
35522014
BLUE SHIELD KANSAS CITY
MO
Enumeration date
03/14/2006
Last updated
06/12/2008
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