Lewis, Corey Blaine

Lewis, Corey Blaine is an individual health care provider with primary practice located at 2750 Clay Edwards Dr. Ste. 200A , North Kansas City MO 64116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lewis, Corey Blaine can be contacted via phone (816) 968-9320.

Contact Information

Primary practice address
2750 Clay Edwards Dr. Ste. 200A North Kansas City MO 64116
Phone: (816) 968-9320
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2005027554 Missouri

Profile Details

NPI number 1275585713
LBN Legal business name Lewis, Corey Blaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Oct 25th, 2012 - about 12 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 1275585713 NPPES
Missouri MEDICAID 207529207
Missouri Other 36109027

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