# KEVEN D KOMES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508953241
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 04-24580 | KS | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 101203 | MO | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 06/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 040481 | BCBS KANSAS | KS |
| 05 | — | 100134990D | — | KS |
| 05 | — | 203406806 | — | MO |
| 01 | — | 222466 | HEALTHLINK | MO |
| 01 | — | 4294 | BCBS MO | MO |