HomeNPI Verification

NPI Verification

National Provider Identifier: 1083104673

Andersen Medical Group, LLC

Organization

Primary Specialty

Preventive Medicine, Occupational Medicine

Code: 2083X0100X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Preventive Medicine, Occupational Medicine

Code: 2083X0100X

Primary

Practice Address

15545 W. 87TH ST

LENEXA, KS 662191735

Phone: 913-894-4428

NPI Enumeration Date

May 18, 2018

NPI Number

1083104673

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry