Retter, Kenneth W

Retter, Kenneth W is an individual health care provider with primary practice located at 211 Saint Francis Dr Ste 15 , Cape Girardeau MO 63703-5049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Retter, Kenneth W can be contacted via phone (573) 331-3333.

Contact Information

Primary practice address
211 Saint Francis Dr Ste 15 Cape Girardeau MO 63703-5049
Phone: (573) 331-3333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MO103268 Missouri

Profile Details

NPI number 1033152335
LBN Legal business name Retter, Kenneth W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Feb 29th, 2024 - about 10 months 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 1033152335 NPPES
Missouri MEDICAID 207641804

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