Individual
ALLAN R COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, RM 4035 WESCOE MAILSTOP 1023, KANSAS CITY, KS 66160
(913) 588-6000
Mailing address
3901 RAINBOW BLVD, RM 4035 WESCOE MAILSTOP 1023, KANSAS CITY, KS 66160
(913) 588-6003
(913) 588-3975
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
04-16724
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05773078
BCBS KC
MO
05
—
100195410A
—
KS
05
—
200981306
—
MO
01
—
625480
FIRSTGUARD
KS
Enumeration date
09/06/2006
Last updated
05/29/2014
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