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
Fax: (573) 884-4729
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558312884 NPPES
Missouri Other P00415739 RAILROAD MEDICARE
Missouri Other 300090348 RAILROAD MEDICARE
Missouri MEDICAID 200639755 RAILROAD MEDICARE

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