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Organization

UNIVERSITY OF KANSAS MEDICAL CENTER DEPT OF PLASTIC SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD KORENTAGER MD (CHAIR AND PROGRAM DIRECTOR)
(913) 588-1058
Entity
Organization

Contact information

Practice address
3901 RAINBOW BLVD, MAIL STOP 3015, KANSAS CITY, KS 66103-2937
(913) 588-1058
Mailing address
3901 RAINBOW BLVD, MAIL STOP 3015, KANSAS CITY, KS 66103-2937
(913) 588-1058

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
94-07635
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RESIDENT NO NUMBER
NONE
Enumeration date
07/07/2011
Last updated
07/07/2011
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