Individual
JEFFREY R ALTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
930 CARONDELET DR STE 200, KANSAS CITY, MO 64114-4698
(816) 943-5690
(816) 943-3156
Mailing address
PO BOX 2747, SHAWNEE MISSION, KS 66201-2747
(800) 968-6866
(616) 532-7230
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MDR7N50
MO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MDR7N50
MO
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
0431677
KS
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
R7N50
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100188060A
—
KS
05
—
100188060D
—
KS
01
—
18711019
BLUE CROSS BLUE SHIELD
—
05
—
202935821
—
MO
Enumeration date
07/20/2005
Last updated
09/03/2021
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