Individual
DR. KEVIN LATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3693
(816) 855-1993
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
110907
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100191760A
—
KS
05
—
208296905
—
MO
Enumeration date
05/12/2006
Last updated
08/23/2013
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