Individual
JEFFREY B. HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 MAIN ST, SUITE 200, KANSAS CITY, MO 64112-2929
(816) 561-5151
(816) 841-0373
Mailing address
7101 COLLEGE BLVD, SUITE 1200, OVERLAND PARK, KS 66210-1845
(913) 319-8400
(913) 696-0040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2000161124
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
323A584A
RAILROAD MEDICARE- INDIV
MO
01
—
323A584B
RAILROAD MEDICARE- INDIV
KS
01
—
CI2562
RAILROAD MEDICARE- GROUP
KS
01
—
CI3618
RAILROAD MEDICARE- GROUP
MO
Enumeration date
01/23/2006
Last updated
08/28/2013
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