Healthcare Provider Details

I. General information

NPI: 1154372324
Provider Name (Legal Business Name): NEPHROLOGY & HYPERTENSION SERVICE'S, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 11/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 HILLTOP RD SUITE #100
SHAWNEE KS
66226-3532
US

IV. Provider business mailing address

6850 HILLTOP RD SUITE #100
SHAWNEE KS
66226-3532
US

V. Phone/Fax

Practice location:
  • Phone: 913-441-5757
  • Fax: 913-441-7979
Mailing address:
  • Phone: 913-441-5757
  • Fax: 913-441-7979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0423568
License Number StateKS

VIII. Authorized Official

Name: DR. MICHAEL BRENT LAMBERT
Title or Position: OWNER
Credential: M. D.
Phone: 913-441-5757