Provider Demographics
NPI:1447211537
Name:LINTECUM & NICKELL PC
Entity Type:Organization
Organization Name:LINTECUM & NICKELL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:B
Authorized Official - Last Name:LINTECUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-531-2111
Mailing Address - Street 1:4320 WORNALL RD
Mailing Address - Street 2:SUITE 720
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-5941
Mailing Address - Country:US
Mailing Address - Phone:816-531-2111
Mailing Address - Fax:816-531-6025
Practice Address - Street 1:4320 WORNALL RD
Practice Address - Street 2:SUITE 720
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5941
Practice Address - Country:US
Practice Address - Phone:816-531-2111
Practice Address - Fax:816-531-6025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty