Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 015199 | MO |
NPI | 1003889650 |
---|---|
Provider Name | Michael W Lowe |
First Address | Kansas City, MO 64151-2382 |
Second Address | Kansas City, MO 64151-2382 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 08/07/2007 |