Vidals, Victor Guillermo

Vidals, Victor Guillermo is an individual health care provider with primary practice located at 1004 Carondelet Dr Suite 460, Kansas City MO 64114-4802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Vidals, Victor Guillermo can be contacted via phone (816) 942-8250.

Contact Information

Primary practice address
1004 Carondelet Dr Suite 460 Kansas City MO 64114-4802
Phone: (816) 942-8250
Fax: (816) 942-7206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MDR3433 Missouri

Profile Details

NPI number 1245232248
LBN Legal business name Vidals, Victor Guillermo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245232248 NPPES
Missouri MEDICAID 2000013902

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