Individual
FESTUS J KREBS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
296 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 524-4828
(816) 524-4888
Mailing address
296 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 524-4828
(816) 524-4888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R4E33
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020007385
RAILROAD MEDICARE
MO
01
—
13398011
BCBSKC
MO
05
—
202123717
—
MO
Enumeration date
05/24/2005
Last updated
06/02/2008
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