Individual
MARIA D KORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3674
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1034
KS
103G00000X
Clinical Neuropsychologist
Primary
R0532
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200375940A
—
MO
Enumeration date
05/10/2006
Last updated
12/01/2025
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