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Individual

BRIAN L. WARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
411 NICHOLS RD, STE 174, KANSAS CITY, MO 64112-2000
(816) 561-7388
Mailing address
411 NICHOLS RD, STE 174, KANSAS CITY, MO 64112-2000
(816) 561-7388

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1200259
KS
213E00000X
Podiatrist
Primary
2010001728
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
43457014
BCBS/PHP
MO
01
4647058
AETNA
MO
01
P00822750
RR
MO
01
P00829204
RR
KS
Enumeration date
01/25/2007
Last updated
08/10/2010
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