Individual
MR. ROBERT ANTHONY EVERETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
7619 E 76TH ST, KANSAS CITY, MO 64138-1121
(816) 358-4316
Mailing address
PO BOX 300674, KANSAS CITY, MO 64130-0674
(816) 358-4316
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
246ZS0400X
MO
Other
Enumeration date
05/23/2007
Last updated
09/08/2011
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