Organization
KANSAS CITY OCCUPATIONAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDRICK C BOWEN D. O. (PRESIDENT)
(555) 555-5555
Entity
Organization
Contact information
Practice address
6120 E CONNECTICUT AVE, KANSAS CITY, MO 64120-1345
(555) 555-5555
Mailing address
6120 E CONNECTICUT AVE, KANSAS CITY, MO 64120-1345
(555) 555-5555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R6N78
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R6N78
PHYSICIAN AND SURGEON
MO
Enumeration date
02/16/2007
Last updated
05/12/2011
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