Komes, Keven D

Komes, Keven D is an individual health care provider with primary practice located at 1101 Virginia Avenue , Columbia MO 65212-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Komes, Keven D can be contacted via phone (573) 884-6642.

Contact Information

Primary practice address
1101 Virginia Avenue Columbia MO 65212-0001
Phone: (573) 884-6642
Fax: (573) 884-3790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 04-24580 Kansas
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 101203 Missouri

Profile Details

NPI number 1508953241
LBN Legal business name Komes, Keven D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jun 8th, 2012 - about 13 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 1508953241 NPPES
Kansas Other 040481 BCBS KANSAS
Kansas MEDICAID 203406806 BCBS KANSAS
Kansas MEDICAID 100134990D BCBS KANSAS
Kansas Other 222466 BCBS KANSAS
Kansas Other 4294 BCBS KANSAS

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