Individual
MR. TEWABE GIRIMA KEBEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2340 E MEYER BLVD, BLDG 2, SUITE, KANSAS CITY, MO 64132
(816) 276-1700
(816) 276-1703
Mailing address
2340 E MEYER BLVD, BLDG 2, SUITE, KANSAS CITY, MO 64132
(816) 276-1700
(816) 276-1703
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
066958
GA
207RN0300X
Nephrology Physician
Primary
2017038567
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-119330
MEDICAL LICENSE NUMBER
IL
01
—
066958
MEDICAL LICENCE
GA
05
—
201195680A
—
KS
01
—
P1775
MEDICAL LICENCE
TX
Enumeration date
09/06/2007
Last updated
01/19/2021
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