Provider Demographics
NPI:1356742431
Name:NIEVES-BORRERO, KARID LINNETTE (MD)
Entity type:Individual
Prefix:DR
First Name:KARID
Middle Name:LINNETTE
Last Name:NIEVES-BORRERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6530 TROOST AVE STE A
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-1301
Mailing Address - Country:US
Mailing Address - Phone:816-361-0670
Mailing Address - Fax:816-444-6936
Practice Address - Street 1:6530 TROOST AVE STE A
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-1301
Practice Address - Country:US
Practice Address - Phone:163-610-6708
Practice Address - Fax:816-444-6936
Is Sole Proprietor?:No
Enumeration Date:2014-09-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA156122207RN0300X
MO2021041699207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA156122OtherSTATE LICENSE
MO2021041699OtherSTATE LICENSE
CAFN7638971OtherDEA