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Individual

DR. JAMESON FORSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4320 WORNALL RD, SUITE 240, KANSAS CITY, MO 64111-5941
(816) 932-4655
(816) 932-7920
Mailing address
901 E 104TH ST, MAILSTOP 400, KANSAS CITY, MO 64131
(816) 599-9499
(816) 932-9670

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-22921
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100115990A
KS
01
15364018
BCBS KANSAS CITY
MO
05
202706107
MO
01
625770
FIRSTGUARD
KS
Enumeration date
09/05/2006
Last updated
01/04/2018
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