Provider Demographics
NPI:1508108929
Name:ALMENOFF, PETER LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:LAWRENCE
Last Name:ALMENOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12512 BARTON ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-2139
Mailing Address - Country:US
Mailing Address - Phone:913-685-8292
Mailing Address - Fax:
Practice Address - Street 1:12512 BARTON ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-2139
Practice Address - Country:US
Practice Address - Phone:913-685-8292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-24
Last Update Date:2013-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-27210207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease