Individual
TAMMY K NEBLOCK-BEIRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4320 WORNALL RD, STE 530, KANSAS CITY, MO 64111-5941
(816) 932-2836
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-4407
(816) 932-7940
(816) 932-7957
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
101510
MO
208600000X
Surgery Physician
426567
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760438154
—
MO
05
—
200311950C
—
KS
05
—
200311950D
—
KS
Enumeration date
05/26/2006
Last updated
03/07/2012
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