Healthcare Provider Details

I. General information

NPI: 1497748859
Provider Name (Legal Business Name): DENISE R ZWAHLEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3599 RAINBOW BLVD
KANSAS CITY KS
66103-2078
US

IV. Provider business mailing address

9100 PARK ST
LENEXA KS
66215-4004
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-1227
  • Fax:
Mailing address:
  • Phone: 913-438-4287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number04-31476
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number2001-125
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: