Individual
CORBAN WEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 NW TOWER DR STE 100, PLATTE WOODS, MO 64151-4414
(816) 368-8120
Mailing address
6500 NW TOWER DR STE 100, PLATTE WOODS, MO 64151-4414
(816) 368-8120
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-4740830
TRICARE
MO
Enumeration date
01/08/2018
Last updated
01/08/2018
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