Individual
DR. COREY STEVEN CRECELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD # MS 3045, KANSAS CITY, KS 66160-1004
(913) 588-1189
Mailing address
3901 RAINBOW BLVD # MS 3045, KANSAS CITY, KS 66160-8500
(913) 588-1189
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
94-11689
KS
Other
Enumeration date
03/30/2023
Last updated
06/25/2024
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