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Individual

DR. BENJAMIN J KULOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5844 NW BARRY RD STE 120, KANSAS CITY, MO 64154-1483
(816) 472-9595
(816) 472-1132
Mailing address
901 E 104TH ST, MS 400S, KANSAS CITY, MO 64131-4517
(816) 599-9499
(816) 932-9670

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
04-42290
KS
208C00000X
Colon & Rectal Surgery Physician
Primary
2018015473
MO

Other

Enumeration date
04/11/2013
Last updated
06/08/2020
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