Individual
REBECCA W OPOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, 6040 DELP, MS 1020, KANSAS UNIVERSITY PHYSICIANS INC, KANSAS CITY, KS 66160
(913) 588-3974
(913) 588-6055
Mailing address
3901 RAINBOW BLVD, 4070 DELP, MS 4017, KANSAS UNIVERSITY PHYSICIANS INC, KANSAS CITY, KS 66160
(913) 588-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-30856
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200271050A
—
KS
05
—
209374909
—
MO
01
—
34564014
BCBS KANSAS CITY
MO
01
—
925212
FIRSTGUARD
KS
Enumeration date
08/30/2006
Last updated
12/29/2014
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