Mcintire, Kent Douglas

Mcintire, Kent Douglas is an individual health care provider with primary practice located at 1331 W 32Nd St , Joplin MO 64804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as his primary health care specialty. Mcintire, Kent Douglas can be contacted via phone (417) 347-6767.

Contact Information

Primary practice address
1331 W 32Nd St Joplin MO 64804
Phone: (417) 347-6767
Fax: (417) 347-6769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 3367 Oklahoma
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 0526010 Kansas
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X R5N23 Missouri

Profile Details

NPI number 1457331324
LBN Legal business name Mcintire, Kent Douglas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Apr 7th, 2021 - about 3 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 1457331324 NPPES
Missouri MEDICAID 247988108
Missouri Other 9102

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