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Individual

DR. OTIS S LATIMER SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 923-5800
Mailing address
5059 W 130TH TER, LEAWOOD, KS 66209-1861

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
102219
MO

Other

Enumeration date
07/05/2005
Last updated
04/15/2011
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