Imhof, Kevin B

Imhof, Kevin B is an individual health care provider with primary practice located at 6500 Hospital Dr , Hannibal MO 63401-6890. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Imhof, Kevin B can be contacted via phone (573) 629-3301.

Contact Information

Primary practice address
6500 Hospital Dr Hannibal MO 63401-6890
Phone: (573) 629-3301
Fax: (573) 629-3336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X R2F68 Missouri

Profile Details

NPI number 1285613885
LBN Legal business name Imhof, Kevin B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jan 6th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285613885 NPPES
Missouri MEDICAID 242661700

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