Individual
DR. IRENE E BETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4400 BROADWAY, SUITE 520, KANSAS CITY, MO 64111-3342
(816) 531-4080
(816) 531-0281
Mailing address
4400 BROADWAY, SUITE 520, KANSAS CITY, MO 64111-3342
(816) 531-4080
(816) 531-0281
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
04-15910
KS
2084N0400X
Neurology Physician
Primary
R5844
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03385075
BLUE CROSS BLUE SHIELD
—
05
—
100350910B
—
KS
05
—
100350910C
—
KS
01
—
4001299
AETNA
—
Enumeration date
06/04/2006
Last updated
09/16/2011
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