Rall, Kenneth Loem
Rall, Kenneth Loem is an individual health care provider with primary practice located at One Hospital Dr , Columbia MO 65212-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Rall, Kenneth Loem can be contacted via phone (573) 882-1026.Contact Information
Primary practice address
One Hospital Dr
Columbia MO 65212-0001
Phone: (573) 882-1026
Fax: (573) 884-4729
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD27600 | Missouri |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 27600 | Missouri |
Profile Details
NPI number | 1558312884 |
---|---|
LBN Legal business name | Rall, Kenneth Loem |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 12th, 2006 |
Last updated | Jun 15th, 2015 - about 9 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 | 1558312884 | NPPES |
Missouri | Other | P00415739 | RAILROAD MEDICARE |
Missouri | Other | 300090348 | RAILROAD MEDICARE |
Missouri | MEDICAID | 200639755 | RAILROAD MEDICARE |
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