Individual
DR. JOHN J BRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160
(913) 588-6670
(913) 588-3365
Mailing address
3901 RAINBOW BLVD, 4070 DELP MAIL STOP 4017, KANSAS CITY, KS 66160
(913) 588-6670
(913) 588-3365
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
04-27628
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100400170B
—
KS
05
—
205718703
—
MO
01
—
29093029
BCBS KANSAS CITY
MO
01
—
408870
FIRSTGUARD
KS
Enumeration date
09/25/2006
Last updated
01/02/2013
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