Individual
DR. BART C PATENAUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 E 54TH ST, KANSAS CITY, MO 64110-2453
(816) 519-3013
Mailing address
15 E 54TH ST, KANSAS CITY, MO 64112-2861
(816) 519-3013
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
04-32490
KS
207Y00000X
Otolaryngology Physician
2008016031
MO
208600000X
Surgery Physician
0432490
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
CENTURY HEALTH SOLUTIONS
KS
01
—
1073546578
BCBS OF KANSAS
KS
05
—
200608340D
—
KS
01
—
210556
HEALTH PARTNERS OF KANSAS
KS
Enumeration date
07/08/2006
Last updated
02/28/2014
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