Provider Demographics
NPI:1992113385
Name:LINDA NIXON, MD
Entity type:Organization
Organization Name:LINDA NIXON, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIXON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-251-0574
Mailing Address - Street 1:16352 W BRIARWOOD CT
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-4518
Mailing Address - Country:US
Mailing Address - Phone:913-302-9255
Mailing Address - Fax:
Practice Address - Street 1:16352 W BRIARWOOD CT
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-4518
Practice Address - Country:US
Practice Address - Phone:913-302-9255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR7N72174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty