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NPI Code Detail

MEDICARE: RAMIRO C MONTEMAYOR III NP-C

MEDICARE: RAMIRO C MONTEMAYOR III NP-C
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
1363LF0000XFamily Nurse Practitioner2020011020MO
2363LF0000XFamily Nurse Practitioner53-79588-082KS

General Provider Information

NPI Number : 1467001982
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMIRO C MONTEMAYOR III NP-C
Provider Business Mailing Address
First Line : 7111 W 151ST ST STE 303
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66223-2231
Country : US
Telephone Number : 913-549-3884
Fax Number : 913-273-3343
Provider Business Practice Location Address
First Line : 500 NW 68TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-2455
Country : US
Telephone Number : 816-420-6300
Fax Number : 877-607-1785
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2019
Last Update Date : 08/19/2022

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