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General NPI Number Information
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NPI Number | 1013172022
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Entity Type | Individual
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Provider Name | KRISTOPHER SHAWN LYBARGER D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2008
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 2340 E MEYER BLVD BLDG 2 STE 546
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City | KANSAS CITY
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State | MO
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Zip | 64132-1105
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Country | US
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Telephone | 816-926-0777
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Fax | 816-926-0707
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Provider Business Mailing Address
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Address Line | 2340 E MEYER BLVD BLDG 2 STE 546
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City | KANSAS CITY
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State | MO
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Zip | 64132-1105
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Country | US
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Telephone | 816-926-0777
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Fax | 816-926-0707
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 5101017678
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 2015025644
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS015980
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 0538312
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License Number State | KS
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