Organization
RAYMORE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J KUENY (VP)
(816) 318-1725
Entity
Organization
Contact information
Practice address
1118 REMINGTON PLZ, RAYMORE, MO 64083-8584
(816) 318-1725
(816) 318-1189
Mailing address
1118 REMINGTON PLZ, RAYMORE, MO 64083-8588
(816) 318-1725
(816) 318-1189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34978011
BCBS OF KANSAS - RAYMORE
KS
Enumeration date
05/28/2006
Last updated
01/05/2008
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