Individual
DR. THEODORE DAMIAN KORECKIJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3651 COLLEGE BLVD, LEAWOOD, KS 66211-1910
(913) 319-7600
Mailing address
3101 W 132ND ST, LEAWOOD, KS 66209-4114
(816) 695-9583
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
0437112
KS
207XS0117X
Orthopaedic Surgery of the Spine Physician
2014000222
MO
Other
Enumeration date
04/03/2009
Last updated
01/02/2016
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