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Individual

DR. KENT TEGELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2529 GLENN HENDREN DR, STE 200, LIBERTY, MO 64068-9607
(816) 781-7820
(816) 781-2371
Mailing address
1496 HEMLOCK CT, LIBERTY, MO 64068-3723
(816) 781-7820
(816) 781-2371

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36110
MO

Other

Enumeration date
07/19/2005
Last updated
07/29/2019
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