Organization
MIDWEST INFECTIOUS DISEASE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J KUENY (VP)
(816) 254-2552
Entity
Organization
Contact information
Practice address
19201 E VALLEY VIEW PKWY, SUITE G, INDEPENDENCE, MO 64055-6910
(816) 254-2552
(816) 833-4155
Mailing address
19201 E VALLEY VIEW PKWY, SUITE G, INDEPENDENCE, MO 64055-6910
(816) 254-2552
(816) 833-4155
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200590210 A
—
KS
01
—
36315014
BCBS OF KC
MO
05
—
507620706
—
MO
Enumeration date
05/28/2006
Last updated
03/19/2009
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