Individual
KIRK C COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3700 W 83RD ST, SUITE 203, PRAIRIE VILLAGE, KS 66208-5121
(913) 381-5194
Mailing address
PO BOX 411863, KANSAS CITY, MO 64141-1863
(913) 579-9025
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
013093
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5530
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4803373206
FED TAX ID
KS
Enumeration date
01/17/2006
Last updated
07/08/2007
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