Tarvin, Randy J

Tarvin, Randy J is an individual health care provider with primary practice located at 1741 Ne Douglas St Suite 200, Lees Summit MO 64086-4703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tarvin, Randy J can be contacted via phone (816) 246-0200.

Contact Information

Primary practice address
1741 Ne Douglas St Suite 200 Lees Summit MO 64086-4703
Phone: (816) 246-0200
Fax: (816) 246-0220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD 111602 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0422753 Kansas

Profile Details

NPI number 1952396905
LBN Legal business name Tarvin, Randy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Aug 18th, 2009 - about 15 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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