Individual
DR. LARRY FREDERICK FREVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 NE SAINT LUKES BLVD STE 200, LEES SUMMIT, MO 64086-6011
(816) 246-4302
(816) 246-8910
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-8752
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD36697
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
36697
MO
Other
Enumeration date
07/18/2006
Last updated
11/04/2022
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