Provider Demographics
NPI:1134882681
Name:INTERVENTIONAL NEPHROLOGY OF KANSAS CITY LLC
Entity type:Organization
Organization Name:INTERVENTIONAL NEPHROLOGY OF KANSAS CITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:STINGO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-233-0454
Mailing Address - Street 1:2790 CLAY EDWARDS DR STE 410
Mailing Address - Street 2:
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3274
Mailing Address - Country:US
Mailing Address - Phone:816-474-0458
Mailing Address - Fax:816-471-2723
Practice Address - Street 1:10 E CAMBRIDGE CIRCLE DR STE 150
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-1393
Practice Address - Country:US
Practice Address - Phone:913-233-0454
Practice Address - Fax:913-233-0649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty