Provider Demographics
NPI:1023471570
Name:PALMA-ZAMORA, ISAAC DE LA SALUD
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:DE LA SALUD
Last Name:PALMA-ZAMORA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ISAAC
Other - Middle Name:
Other - Last Name:PALMA-ZAMORA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:12000 W 151ST ST # A
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-7200
Mailing Address - Country:US
Mailing Address - Phone:913-588-1227
Mailing Address - Fax:
Practice Address - Street 1:12000 W 151ST ST # A
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-7200
Practice Address - Country:US
Practice Address - Phone:913-588-1227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-01
Last Update Date:2025-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-51253208800000X
TXU2599208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology