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1720583024

NPI Code Detail

MEDICARE: JOSEPH OLIVER LETHAM MD

MEDICARE: JOSEPH OLIVER LETHAM MD

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	2085R0202X	Diagnostic Radiology Physician	DR.0073933	CO
2	2085R0202X	Diagnostic Radiology Physician	V3634	TX
3	2085R0202X	Diagnostic Radiology Physician	72230	AZ
4	2085R0202X	Diagnostic Radiology Physician	14212502-1235	UT
5	2085R0202X	Diagnostic Radiology Physician	MED-PHYS-LIC-148419	MT
6	2085R0202X	Diagnostic Radiology Physician	04-45483	KS
7	2085R0202X	Diagnostic Radiology Physician	2020033901	MO
8	390200000X	Student in an Organized Health Care Education/Training Program
9	2085R0202X	Diagnostic Radiology Physician	ME170999	FL
10	2085R0202X	Diagnostic Radiology Physician	MD217082	OR

General Provider Information

NPI Number	:	1720583024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH OLIVER LETHAM MD

Provider Business Mailing Address
First Line	:	4401 WORNALL RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-3241
Country	:	US
Telephone Number	:	816-932-2843
Fax Number	:

Provider Business Practice Location Address
First Line	:	4401 WORNALL RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-3241
Country	:	US
Telephone Number	:	816-932-2843
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2018
Last Update Date	:	02/26/2026

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Directions to “ JOSEPH OLIVER LETHAM MD” Practice Location

Language	Start Address	Practice Location

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