Individual
MICHAEL P ESTIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11227 LAKEVIEW AVE, LENEXA, KS 66219-1399
(913) 730-1100
(913) 730-1101
Mailing address
11227 LAKEVIEW AVE, LENEXA, KS 66219-1399
(913) 730-1100
(913) 730-1101
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
05-23235
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231120C
—
MO
Enumeration date
06/03/2006
Last updated
04/22/2015
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