Individual
DR. JAMES R EYNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 PROSPECT ST, T-509, KANSAS CITY, MO 64132
(816) 276-4800
(816) 523-1425
Mailing address
6420 PROSPECT ST, T-509, KANSAS CITY, MO 64132
(816) 276-4800
(816) 523-1425
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0419333
KS
207RC0000X
Cardiovascular Disease Physician
Primary
R9542
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007908025
AETNA HMO
—
01
—
060013885
MEDICARE RAILROAD
—
01
—
08010011
BLUE SHIELD OF KC HMO
—
01
—
431092652A014
CHAMPUS TRICARE
—
Enumeration date
05/19/2006
Last updated
04/22/2010
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