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NPI Code Detail

MEDICARE: DR. KENNETH CHAD LAMBERT D.O.

MEDICARE: DR. KENNETH CHAD LAMBERT D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2011011360MO

General Provider Information

NPI Number : 1063704161
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH CHAD LAMBERT D.O.
Provider Business Mailing Address
First Line : 3202 MILLER ST
Second Line :
City : BETHANY
State : MO
Zip : 64424-2713
Country : US
Telephone Number : 660-425-3154
Fax Number : 660-425-6663
Provider Business Practice Location Address
First Line : 3202 MILLER ST
Second Line :
City : BETHANY
State : MO
Zip : 64424-2713
Country : US
Telephone Number : 660-425-3154
Fax Number : 660-425-6663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2011
Last Update Date : 06/24/2026

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