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Individual

NANCY BIRENBOIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
19403 E 37TH TERRACE CT S, INDEPENDENCE, MO 64057-2318
(816) 276-1701
(816) 350-3033
Mailing address
6400 PROSPECT AVE, SUITE 480, KANSAS CITY, MO 64132-1100
(816) 276-1700
(816) 444-2810

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R5E73
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100121860B
KS
05
202294419
MO
Enumeration date
10/14/2005
Last updated
09/12/2011
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