Individual
LARRY C HOLLENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2790 CLAY EDWARDS DR, SUITE 1235, NORTH KANSAS CITY, MO 64116-3276
(816) 472-5157
(816) 472-7201
Mailing address
2790 CLAY EDWARDS DR, SUITE 1235, NORTH KANSAS CITY, MO 64116-3276
(816) 472-5157
(816) 472-7201
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
04-20159
KS
2084N0400X
Neurology Physician
Primary
R6F61
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0508022
UNITED HEALTH CARE
MO
01
—
10001511401
COMMUNITY HEALTH PLAN
MO
01
—
12416018
BLUE SHIELD
MO
05
—
206664906
—
MO
05
—
206664914
—
MO
01
—
3230500-0002
CIGNA
MO
01
—
453014
AETNA
MO
Enumeration date
03/29/2006
Last updated
03/17/2016
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