Individual
DR. KENNETH R VELLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2568
(855) 903-0985
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2021048633
MO
207L00000X
Anesthesiology Physician
44191
TX
207LP3000X
Pediatric Anesthesiology Physician
Primary
2021048633
MO
207LP3000X
Pediatric Anesthesiology Physician
44191
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3194524-01
—
TX
05
—
64344492
—
KY
Enumeration date
08/30/2006
Last updated
01/06/2022
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