Individual
KEITH TODD RATZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20375 W 151ST ST, SUITE 105, OLATHE, KS 66061-7218
(913) 782-8487
(913) 782-4634
Mailing address
20375 W 151ST ST, SUITE 105, OLATHE, KS 66061-7218
(913) 782-8487
(913) 782-4634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0429864
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100428630C
—
KS
Enumeration date
05/18/2006
Last updated
09/22/2011
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