Individual
LARRY DONALD CORDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, MS 3017, KANSAS CITY, KS 66160
(913) 588-6100
(913) 588-8186
Mailing address
3901 RAINBOW BLVD, MS 3017, KANSAS CITY, KS 66160
(913) 588-6100
(913) 588-8186
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
04-13939
KS
207X00000X
Orthopaedic Surgery Physician
38333
CO
207X00000X
Orthopaedic Surgery Physician
C32504
CA
207X00000X
Orthopaedic Surgery Physician
R7372
MO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
04-13939
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100093800B
—
KS
05
—
100093800C
—
KS
05
—
100093800D
—
KS
05
—
100093800E
—
KS
05
—
100093800F
—
KS
05
—
1578567384
—
MO
Enumeration date
06/09/2005
Last updated
02/27/2012
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