Individual
REBECCA L SHRIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4321 WASHINGTON ST, SUITE 6000, KANSAS CITY, MO 64111-5961
(816) 756-2255
(816) 931-4080
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-8752
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
0428721
KS
207RP1001X
Pulmonary Disease Physician
Primary
108392
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100392950C
—
KS
01
—
104541
BCBS KS
KS
05
—
208552216
—
MO
01
—
29380026
BCBS KC
MO
01
—
29380036
BCBS KC
—
Enumeration date
08/11/2005
Last updated
08/17/2016
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