Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | R9116 | MO |
NPI | 1790727816 |
---|---|
Provider Name | Frank H Lewis |
First Address | Kansas City, MO 64114-1615 |
Second Address | Kansas City, MO 64114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 21/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C51045 | (02) | MO |