Organization
GUILLERMO COUCHONNAL MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO COUCHONNAL MD (OWNER)
(816) 942-4755
Entity
Organization
Contact information
Practice address
6013 LEAVENWORTH RD, KANSAS CITY, KS 66104-1436
(816) 942-4755
(816) 942-1581
Mailing address
1836 LACKLAND HILL PKWY, SAINT LOUIS, MO 63146-3572
(314) 872-1439
(314) 810-1399
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0417557
KS
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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