Individual
KENNETH W RETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 SAINT FRANCIS DR STE 15, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3333
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-3000
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MO103268
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207641804
—
MO
Enumeration date
06/14/2006
Last updated
02/29/2024
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