Provider Demographics
NPI:1740242569
Name:ROH, LYNN H (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:H
Last Name:ROH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:
Other - Last Name:HILSABECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10787 NALL AVE STE 220
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1329
Practice Address - Country:US
Practice Address - Phone:913-574-0780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-25533207Y00000X
MOR4J74207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO15179023OtherBCBS OF KC
KS100127200GMedicaid
MO204510882OtherCHAMPUS
MO4091626OtherAETNA
MO750469OtherUNITED HEALTHCARE
KS100127200FMedicaid
MO203057302Medicaid