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NPI Code Detail

MEDICARE: DR. KARID LINNETTE NIEVES-BORRERO MD

MEDICARE: DR. KARID LINNETTE NIEVES-BORRERO MD
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
1207RN0300XNephrology PhysicianA156122CA
2207RN0300XNephrology Physician2021041699MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A156122OTHERCASTATE LICENSE
22021041699OTHERMOSTATE LICENSE

General Provider Information

NPI Number : 1356742431
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KARID LINNETTE NIEVES-BORRERO MD
Provider Business Mailing Address
First Line : 6530 TROOST AVE STE A
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-1301
Country : US
Telephone Number : 816-361-0670
Fax Number : 816-444-6936
Provider Business Practice Location Address
First Line : 6530 TROOST AVE STE A
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-1301
Country : US
Telephone Number : 163-610-6708
Fax Number : 816-444-6936
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2014
Last Update Date : 03/07/2023

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