Individual
RAFAELA HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2121 SUMMIT ST, KANSAS CITY, MO 64108-2126
(816) 471-0900
(816) 471-3150
Mailing address
PO BOX 504939, SAINT LOUIS, MO 63150-4939
(816) 932-7940
(816) 932-7957
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R3G65
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205787716
—
MO
Enumeration date
01/18/2006
Last updated
03/07/2012
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