Healthcare Provider Details

I. General information

NPI: 1144275132
Provider Name (Legal Business Name): LOWELL J BYERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 06/24/2024
Certification Date: 06/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 W 74TH ST
SHAWNEE MISSION KS
66204-4004
US

IV. Provider business mailing address

9100 W 74TH ST
SHAWNEE MISSION KS
66204-4004
US

V. Phone/Fax

Practice location:
  • Phone: 913-632-9100
  • Fax: 913-632-9159
Mailing address:
  • Phone: 913-632-9100
  • Fax: 913-632-9159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number0421433
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License NumberR8E45
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: