Individual
DR. BRENT KEVIN HOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
407 E RUSSELL AVE BLDG C, WARRENSBURG, MO 64093-1242
(660) 747-5114
(660) 747-5684
Mailing address
407 E RUSSELL AVE BLDG C, WARRENSBURG, MO 64093-1242
(660) 747-5114
(660) 747-5684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4J25
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11060318
CAQH
MO
01
—
15389063
BLUE CROSS BLUE SHIELD KC
MO
01
—
4630453
AETNA NUMBER
MO
Enumeration date
07/18/2006
Last updated
07/09/2007
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