Individual
KENNETH A SPANGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 PORTER AVE, AURORA, MO 65605
(417) 678-7855
Mailing address
500 PORTER AVE, AURORA, MO 65605-2365
(417) 678-7855
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R6D66
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242117315
—
MO
Enumeration date
08/19/2006
Last updated
08/01/2018
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