MEDICARE: LOWE & FREYALDENHOVEN MDS CHARTERED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist		KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CP4282	OTHER	KS	MEDICARE RAILROAD
3	Q670000	OTHER	KS	MEDICARE GROUP ID
4	111071	OTHER	KS	KS MEDICARE GRP ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	25956010	OTHER	KS	BLUE SHIELD OF KANSAS CIT

General Provider Information

NPI Number	:	1124117957
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOWE & FREYALDENHOVEN MDS CHARTERED

Provider Business Mailing Address
First Line	:	7450 KESSLER ST STE 150
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66204-2550
Country	:	US
Telephone Number	:	913-677-2508
Fax Number	:	913-677-0631

Provider Business Practice Location Address
First Line	:	7450 KESSLER ST STE 150
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66204-2550
Country	:	US
Telephone Number	:	913-677-2508
Fax Number	:	913-677-0631

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BETTINA LOWE
Credential	:	M.D.
Telephone Number	:	913-677-2508

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/21/2022

Similar Medicare Providers

1174529572 — DR. BETTINA LOWE M.D.
Practice Location Address:

7450 KESSLER ST STE 150
OVERLAND PARK, KS
66204-2550

Practice Phone: 913-677-2508
Practice Fax: 913-677-0631

1801892815 — DR. KRISTINE FREYALDENHOVEN M.D.
Practice Location Address:

7450 KESSLER ST , STE 150
OVERLAND PARK, KS
66204-2550

Practice Phone: 913-677-2508
Practice Fax: 913-677-0631

1912678996 — MS. DANIELLE LEA CARMITCHEL APRN-C
Practice Location Address:

7450 KESSLER ST STE 300
OVERLAND PARK, KS
66204-2550

Practice Phone: 913-632-2900
Practice Fax:

1710172457 — MR. JOHN RICHARD DECARLIS LCSW-C
Practice Location Address:

10411 W 145TH TER
OVERLAND PARK, KS
66221-2550

Practice Phone: 913-499-8096
Practice Fax:

1881777951 — DR. SARI SHEPPHIRD PH.D.
Practice Location Address:

2550 OVERLAND AVE , SUITE 100
LOS ANGELES, CA
90064-3346

Practice Phone: 310-826-4300
Practice Fax: 310-558-0799

1093922585 — NICOLE ASHTON M.A., MFT
Practice Location Address:

2550 OVERLAND AVE , SUITE 100
LOS ANGELES, CA
90064-3346

Practice Phone: 310-592-8274
Practice Fax:

Directions to “LOWE & FREYALDENHOVEN MDS CHARTERED ” Practice Location

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