Individual
KEITH W NEUENSWANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 781-7200
(816) 792-7196
Mailing address
PO BOX 804408, KANSAS CITY, MO 64180-4408
(913) 647-4100
(913) 647-4120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
105380
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
105380
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20927019
BCBS KC
MO
01
—
20927029
BCBS KC
MO
05
—
246965602
—
MO
Enumeration date
09/26/2005
Last updated
05/11/2021
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