Peraud, Katherine Lynn
Peraud, Katherine Lynn is an individual health care provider with primary practice located at 4401 Wornall Rd , Kansas City MO 64111-3220. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Peraud, Katherine Lynn can be contacted via phone (816) 932-2171.Contact Information
Primary practice address
4401 Wornall Rd
Kansas City MO 64111-3220
Phone: (816) 932-2171
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 2005018539 | Missouri |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2008002448 | Missouri |
Profile Details
NPI number | 1063457430 |
---|---|
LBN Legal business name | Peraud, Katherine Lynn |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2006 |
Last updated | Oct 15th, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063457430 | NPPES |
Kansas | MEDICAID | 200573730C | |
Kansas | MEDICAID | 200573730A | |
Kansas | MEDICAID | 200573730D | |
Kansas | MEDICAID | 200573730B | |
Kansas | Other | 40355015 |
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