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Individual

STEVEN ROBERT KREBEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2401 GILLHAM ROAD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM ROAD, PROVIDER ENROLLMENT DEPARTMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
J9139
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00L42V
BCBSTX GRP PIN
TX
01
10028762
AMERIGROUP PIN
TX
01
100933
SUPERIOR PIN
TX
01
117114101
FIRSTCARE PIN
TX
05
125424502
TX
05
125424503
TX
05
137283103
TX
05
137345805
TX
01
1392512
UHC PIN
TX
01
1640399
FIRSTHEALTH PIN
TX
01
1669442042
GRP NPI NUMBER
01
413467
PHCS PIN
TX
01
5654108
AETNA PIN
TX
01
83X065
BCBSTX IND PIN
TX
01
9469068
CIGNA PIN
TX
Enumeration date
10/02/2006
Last updated
09/06/2023
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