Organization
NEPHROLOGY PHYSICIANS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMI A. BALL (PRACTICE ADMINISTRATOR)
(913) 831-2430
Entity
Organization
Contact information
Practice address
8901 W 74TH ST, SUITE 120, SHAWNEE MISSION, KS 66204-2204
(913) 831-2430
(913) 831-0108
Mailing address
8901 W 74TH ST, SUITE 120, SHAWNEE MISSION, KS 66204-2204
(913) 831-2430
(913) 831-0108
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100193330A
—
KS
Enumeration date
05/07/2014
Last updated
05/07/2014
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