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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHEN LONGSHORE AMBROSE, MD

Active

STEPHEN LONGSHORE AMBROSE, MD is a Glaucoma Specialist healthcare provider located in PRAIRIE VILLAGE, Kansas. NPI 1215432257 is currently active in the NPPES registry. Verify at CMS.

Glaucoma Specialist · PRAIRIE VILLAGE, KS

Registration Details

NPI Number
1215432257
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2018 (8.384420265676 yrs)
Last Updated
Dec 7, 2023
Licenses
91372 (GA)
04-47757 (KS)

Practice Information

Address
7400 STATE LINE RD
PRAIRIE VILLAGE, KS, 662083444
Browse KS providers · Browse ZIP 66208
Phone
9135886600
Fax
9135886655
Primary Specialty
Glaucoma Specialist
207WX0009X
Additional Specialty
Glaucoma Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.