Organization
MAYOR HEART & LUNG SURGERY OF KANSAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN LEE MAYOR MD (PHYSICIAN)
(913) 492-0300
Entity
Organization
Contact information
Practice address
8901 W 74TH ST, SUITE 1, SHAWNEE MISSION, KS 66204-2204
(913) 492-0300
(913) 492-0302
Mailing address
8901 W 74TH ST, SUITE 1, SHAWNEE MISSION, KS 66204-2204
(913) 492-0300
(913) 492-0302
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0426298
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100314130C
—
KS
01
—
24951023
BCBS OF KANSAS CITY
—
Enumeration date
10/19/2006
Last updated
09/29/2010
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