Individual
KEVIN GARY FRAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
308 S CHURCH ST, FAYETTE, MO 65248-1243
(660) 248-2217
(660) 248-3450
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 882-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2012008857
MO
Other
Enumeration date
06/23/2009
Last updated
09/14/2022
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