Individual
KURT ELDON WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160
(913) 588-3672
(504) 988-1665
Mailing address
3901 RAINBOW BLVD. MS 4015, KANSAS CITY, KS 66160
(319) 541-3785
(512) 499-0228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-46264
KS
2084P0800X
Psychiatry Physician
Primary
04-46264
KS
Other
Enumeration date
04/29/2016
Last updated
07/18/2023
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