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Individual
DENNIS M HANDLEY
Active
Individual
DENNIS M HANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MDR7966
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102982
HEALTHLINK
MO
01
—
104106
UNITED HEALTHCARE
MO
05
—
201300019
—
MO
01
—
2086349401
KANSAS MEDICAID
KS
01
—
500300006
MEDICARE PTAN
—
01
—
80052848
RR MEDICARE
MO
01
—
9098
BLUE SHIELD/BLUE CHOICE
MO
Enumeration date
06/01/2006
Last updated
08/25/2014
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