LYNNE E KALLENBACH (NPI# 1477655785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477655785 |
| Entity Type | Individual |
| Full Name | LYNNE E KALLENBACH |
| Credential | M.D. |
| Practice Address |
12140 Nall Ave Ste 100 Overland Park KS 66209-2503 |
| Mailing Address |
12639 Old Tesson Rd Ste 100 Saint Louis MO 63128-2786 |
| Practice Telephone | 9134518500 |
| Practice Fax Number | 9134518575 |
| Mailing Telephone | 9134518500 |
| Mailing Fax Number | 9134518575 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2016-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
04-30715 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS KC | 35463015 | 01 |
| KS | FIRSTGUARD | 927267 | 01 |
| MO | 207217308 | 05 | |
| KS | 100066940B | 05 |
| Street Address |
12140 NALL AVE STE 100 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66209-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811988819 | Sajeev Balakrishnan Menon | Internal Medicine | 12140 Nall Ave, Suite 300, Overland Park, KS 66209 | 2005-10-31 |
| 1609312735 | Kc Core Ca LLC | Chiropractor | 12140 Nall Ave, Suite 115, Overland Park, KS 66209-2503 | 2017-01-12 |
| 1841654258 | Dr Ets Concierge Care LLC | Internal Medicine | 12140 Nall Ave, Suite 305, Overland Park, KS 66209-2503 | 2016-04-12 |
| 1356700074 | Tara S Marchello | Dietitian, Registered | 12140 Nall Ave, Suite 100, Overland Park, KS 66209 | 2016-02-23 |
| 1164891966 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Ave, Suite 315, Overland Park, KS 66209-2503 | 2015-09-22 |
| 1164802666 | Mccallum Place | Clinic/Center | 12140 Nall Ave, Suite 315, Overland Park, KS 66209-2503 | 2015-06-01 |
| 1285065250 | Gretchen Huebert | Dietitian, Registered | 12140 Nall Ave, Suite 100, Overland Park, KS 66209-2503 | 2013-12-02 |
| 1255768354 | Jill Soenen | Nurse Practitioner | 12140 Nall Ave, Suite 100, Overland Park, KS 66209-2503 | 2013-10-03 |
| 1013356054 | Rebecca Bennett | Dietitian, Registered | 12140 Nall Ave, Suite 100, Overland Park, KS 66209-2503 | 2013-06-24 |
| 1851737365 | Sandra T Hao | Internal Medicine | 12140 Nall Ave, Suite 300, Overland Park, KS 66209-2503 | 2013-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| 1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
| 1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
| 1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
| 1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
| 1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
| Find all providers in zip 66209 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245741446 | Frontier Healthcare LLC | Internal Medicine | 12140 Nall Ave Ste 125, Overland Park, KS 66209-2503 | 2017-10-16 |
| 1942319447 | Internal Medicine Specialists, Inc | Internal Medicine | 10540 Barkley St, Suite 205, Overland Park, KS 66212-1811 | 2006-08-29 |
| 1811924780 | Charles I Davis Md Pa | Internal Medicine | 9250 Glenwood St, Suite 100, Overland Park, KS 66212-1365 | 2006-06-27 |
| 1518469311 | Medical Specialists Pa | Internal Medicine | 10550 Marty St Ste 201, Overland Park, KS 66212-2557 | 2018-03-07 |
| 1942319710 | Sally Kathleen Rigler | Internal Medicine | 12330 Metcalf Ave, Ste. 400, Overland Park, KS 66213-1324 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063437176 | Shelley Lynn Alexander | Internal Medicine | 10557 Mission Rd, Leawood, KS 66206-2522 | 2006-07-12 |
| 1871558692 | Dana C. Malis | Internal Medicine | 10977 Granada Ln Ste 105, Leawood, KS 66211-1415 | 2006-04-18 |
| 1770546129 | Pravin Sampat | Internal Medicine | 3300 Sw 29th St, Topeka, KS 66614-2039 | 2006-04-07 |
| 1346228921 | Charles Isaac Davis Jr. | Internal Medicine | 1615 Parker Ave, Osawatomie, KS 66064-1703 | 2006-01-04 |
| 1336527134 | Laura Badjalimbe | Internal Medicine | 10977 Granada Ln Ste 105, Leawood, KS 66211-1415 | 2015-05-12 |
| 1699082776 | Melissa Jane Mills | Internal Medicine | 7405 Renner Rd, Ku Medwest, Shawnee, KS 66217-9414 | 2010-09-10 |
| 1346579000 | Christopher B Geha Md Inc | Internal Medicine | 8800 State Line Rd, Leawood, KS 66206-1553 | 2009-12-09 |
| 1619105467 | Rachel Beth Mason | Internal Medicine | 3901 Rainbow Blvd, 6040 Delp, Ms 1020, Division of General and Geriatric Medicine, Kansas City, KS 66160-0001 | 2009-06-30 |
| 1902085251 | David W Peters Md Pa | Internal Medicine | 8800 State Line Rd, Leawood, KS 66206-1553 | 2007-11-02 |
| 1447467162 | Geary County Hospital | Internal Medicine | 1106 Saint Marys Rd, Suite 307, Junction City, KS 66441-4158 | 2007-05-16 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66209 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.