Individual
NICOLE MARIE FEARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5701 W 119TH ST, SUITE 320, OVERLAND PARK, KS 66209-3721
(913) 345-6960
(913) 345-6966
Mailing address
5419 PAWNEE LN, FAIRWAY, KS 66205-2738
(816) 482-6378
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0428286
KS
208600000X
Surgery Physician
2005029304
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207546300
—
MO
01
—
722636
HEALTHLINK
MO
Enumeration date
05/15/2006
Last updated
01/27/2022
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