Individual
DR. LARRY R CORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20375 W 151ST ST, SUITE 208, OLATHE, KS 66061-7218
(913) 780-4000
(913) 780-4038
Mailing address
20375 W 151ST ST, SUITE 208, OLATHE, KS 66061-7218
(913) 780-4000
(913) 780-4038
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
04-30533
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200266340D
—
KS
01
—
34068015
BC/BS OF KC
KS
Enumeration date
08/10/2005
Last updated
01/18/2016
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