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Individual

RICHARD ALLAN HUSEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8901 W 74TH STREET, SUITE 120, SHAWNEE MISSION, KS 66204
(913) 831-2430
(913) 831-0108
Mailing address
8901 W 74TH STREET, SUITE 120, SHAWNEE MISSION, KS 66204
(913) 831-2430
(913) 831-0108

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0416306
KS
207R00000X
Internal Medicine Physician
R7110
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06243020
BCKC
05
100351340A
KS
01
608698
BCKS
05
HU201275914
MO
Enumeration date
06/07/2006
Last updated
05/26/2011
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