Individual
DR. PETER T. HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9743 HASTINGS ST, LENEXA, KS 66227-4903
(785) 532-8990
Mailing address
9743 HASTINGS ST, LENEXA, KS 66227-4903
(785) 532-8990
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
04-27680
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-27680
STATE LICENSE
KS
05
—
100423450A
—
KS
01
—
102204
BCBS OF KS
—
01
—
200045522
RAILROAD MEDICARE
—
Enumeration date
06/30/2005
Last updated
07/05/2022
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