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Individual

JOSE I DULIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5701 STATE AVE, SUITE 300, KANSAS CITY, KS 66102-1286
(913) 945-9640
Mailing address
2330 SHAWNEE MISSION PKWY STE 312, WESTWOOD, KS 66205-2005
(913) 588-9600

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
04-19329
KS
207RC0000X
Cardiovascular Disease Physician
2011004798
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09449168
BCBS KC
MO
05
100173490H
KS
05
100173490J
KS
05
1699866715
MO
Enumeration date
09/27/2006
Last updated
07/21/2022
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