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Individual

JOHNSTON KYLE FITE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31640
OK
2085P0229X
Pediatric Radiology Physician
Primary
2020018875
MO

Other

Enumeration date
07/07/2015
Last updated
03/22/2021
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