Individual
DR. CONSTANTINE LAN FOTOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4320 WORNALL RD, SUITE 610, KANSAS CITY, MO 64111-5941
(913) 319-7600
(816) 531-4849
Mailing address
3651 COLLEGE BLVD, LEAWOOD, KS 66211
(913) 319-7600
(913) 253-1702
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
04-25099
KS
208100000X
Physical Medicine & Rehabilitation Physician
Primary
106257
MO
Other
Enumeration date
04/28/2006
Last updated
02/09/2011
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