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Individual

DR. EDWIN T KRAEMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7100
(816) 404-7612
Mailing address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7100
(816) 404-7612

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD R5J63
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100135920B
KS
05
202635124
MO
Enumeration date
09/15/2005
Last updated
02/26/2018
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