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Individual

CHARLES WARD VAN WAY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108
(816) 404-0099
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2634
(816) 218-2500
(816) 421-7379

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
R2J85
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
R2J85
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202651725
MO
Enumeration date
03/11/2006
Last updated
03/22/2021
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