Individual
SCOTT A NITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20375 W 151ST ST, SUITE 251, OLATHE, KS 66061-5306
(913) 393-4888
(913) 764-6884
Mailing address
20375 W 151ST ST, SUITE 251, OLATHE, KS 66061-5306
(913) 393-4888
(913) 764-6884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0425965
KS
208000000X
Pediatrics Physician
0425965
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100161560B
—
KS
Enumeration date
05/15/2006
Last updated
09/29/2011
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