Individual
DR. ROBERT KEITH TWILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4225 BALTIMORE AVE, KANSAS CITY, MO 64111-2304
(816) 932-1711
(816) 932-1719
Mailing address
13124 W 83RD TER, LENEXA, KS 66215-2824
(913) 205-3746
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2019030582
MO
103TC0700X
Clinical Psychologist
LP-789
KS
Other
Enumeration date
05/24/2019
Last updated
08/09/2019
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