Healthcare Provider Details

I. General information

NPI: 1790727816
Provider Name (Legal Business Name): FRANK H LEWIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 06/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 MEADOW LAKE PKWY STE 200
KANSAS CITY MO
64114
US

IV. Provider business mailing address

1500 MEADOW LAKE PKWY STE 200
KANSAS CITY MO
64114-1615
US

V. Phone/Fax

Practice location:
  • Phone: 816-363-2600
  • Fax: 816-523-0068
Mailing address:
  • Phone: 816-363-2600
  • Fax: 816-523-0068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberR9116
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: