Provider Demographics
NPI:1679679104
Name:NEIBURGER, JAMES B (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:NEIBURGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10787 NALL AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1375
Mailing Address - Country:US
Mailing Address - Phone:913-491-3300
Mailing Address - Fax:913-491-0904
Practice Address - Street 1:10787 NALL AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1375
Practice Address - Country:US
Practice Address - Phone:913-491-3300
Practice Address - Fax:913-491-0904
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2008-09-25
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Provider Licenses
StateLicense IDTaxonomies
KS16155207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSC50395Medicare UPIN