MEDICARE: DR. BETTINA LOWE M.D.

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
1	208600000X	Surgery Physician	0427391	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174529572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETTINA LOWE M.D.

Provider Business Mailing Address
First Line	:	7450 KESSLER ST STE 150
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66204-2550
Country	:	US
Telephone Number	:	913-677-2508
Fax Number	:	913-677-0631

Provider Business Practice Location Address
First Line	:	7450 KESSLER ST STE 150
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66204-2550
Country	:	US
Telephone Number	:	913-677-2508
Fax Number	:	913-677-0631

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	05/19/2025

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