Individual
CONNOR W HARTPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8765 N AMBASSADOR DR, KANSAS CITY, MO 64154-2540
(913) 297-7472
Mailing address
8765 N AMBASSADOR DR, KANSAS CITY, MO 64154-2540
(913) 297-7472
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-41354
KS
207Q00000X
Family Medicine Physician
Primary
2022018035
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201241380A
—
KS
Enumeration date
06/07/2016
Last updated
04/30/2024
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