Individual
TIMOTHY FRETWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-44521
KS
208000000X
Pediatrics Physician
2021013948
MO
Other
Enumeration date
03/28/2018
Last updated
06/23/2021
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