Individual
JOHN E ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 CARONDELET DR, SUITE 426, KANSAS CITY, MO 64114-4859
(816) 943-1292
(816) 268-6976
Mailing address
1010 CARONDELET DR, SUITE 426, KANSAS CITY, MO 64114-4859
(816) 943-1292
(816) 268-6976
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
R7363
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X233714
MEDICARE PROVIDER NUMBER
KS
Enumeration date
07/24/2006
Last updated
07/18/2007
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