Provider Demographics
NPI:1144545153
Name:NORDWALD, LINDSAY R (MD)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:R
Last Name:NORDWALD
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Gender:F
Credentials:MD
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Mailing Address - Street 1:KU WOMEN'S HEALTH SPECIALTY CENTERS
Mailing Address - Street 2:3901 RAINBOW BLVD., MS 2028
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-6200
Mailing Address - Fax:913-588-6271
Practice Address - Street 1:KU WOMEN'S HEALTH SPECIALTY CENTERS
Practice Address - Street 2:3901 RAINBOW BLVD., MS 2028
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-6200
Practice Address - Fax:913-588-6271
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2019-10-18
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Provider Licenses
StateLicense IDTaxonomies
KS04-37254207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS003768080Medicare Oscar/Certification