Individual
DR. NICHOLAS ROBERT ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9119 W 74TH ST STE 350, SHAWNEE MISSION, KS 66204-2268
(913) 632-9400
(913) 632-9444
Mailing address
9119 W 74TH ST STE 350, MERRIAM, KS 66204-2268
(913) 632-9400
(913) 632-9444
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
04-41836
KS
207RI0011X
Interventional Cardiology Physician
Primary
04-41836
KS
Other
Enumeration date
05/18/2016
Last updated
03/27/2025
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