Individual
KURT DANIEL TARWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 HITT ST, COLUMBIA, MO 65212-0001
(573) 882-8788
(573) 882-3131
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008019277
MO
207RN0300X
Nephrology Physician
Primary
2008019277
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC7852
RAILROAD GROUP
MO
01
—
P00635921
MEDICARE RAILROAD
—
Enumeration date
08/31/2006
Last updated
09/12/2022
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