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Individual

DR. HUNTER TODD FEASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
8550 MARSHALL DR, STE 100, LENEXA, KS 66214-1505
(913) 894-1500
(913) 894-1502
Mailing address
8550 MARSHALL DR, STE 100, LENEXA, KS 66214-1505
(913) 894-1500
(913) 894-1502

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2002007821
MO
103G00000X
Clinical Neuropsychologist
Primary
LP1161
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10001037600
COMMUNITY HEALTH PLAN MO
01
2098885
CIGNA BEHAVIORAL
01
30946011
BCBS KANSAS CITY
01
542516
HEALTHLINK-NCPPO
Enumeration date
06/20/2005
Last updated
08/13/2007
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