Korentager, Richard A

Korentager, Richard A is an individual health care provider with primary practice located at 3901 Rainbow Blvd Department Of Surgery, Kansas City KS 66160-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Korentager, Richard A can be contacted via phone (913) 588-2067.

Contact Information

Primary practice address
3901 Rainbow Blvd Department Of Surgery Kansas City KS 66160-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 0427388 Kansas

Profile Details

NPI number 1952337735
LBN Legal business name Korentager, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1952337735 NPPES
Missouri MEDICAID 204625701
Missouri Other 25162093

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