Individual
AMBER ELIZABETH NIEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7405 RENNER RD # PODA, SHAWNEE, KS 66217-9414
(913) 588-8465
(816) 271-7986
Mailing address
7405 RENNER RD # PODA, SHAWNEE, KS 66217-9414
(913) 588-8465
(816) 271-7986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-34370
KS
207R00000X
Internal Medicine Physician
2012013856
MO
207R00000X
Internal Medicine Physician
9406861
KS
208M00000X
Hospitalist Physician
2012013856
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881892487
—
MO
05
—
200654850A
—
KS
01
—
P01095186
RR MEDICARE
MO
Enumeration date
07/05/2007
Last updated
11/16/2023
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