Individual
DR. THOMAS KEVIN LABRUZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2700 CLAY EDWARDS DR, SUITE 400, NORTH KANSAS CITY, MO 64116-3251
(816) 421-4240
(816) 421-5015
Mailing address
9411 N OAK TRFY, SUITE LL1, KANSAS CITY, MO 64155-2262
(816) 436-7072
(816) 436-2743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DOR1G48
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110112977
RAILROAD MEDICARE
—
01
—
14341013
BCBS OF KC INDIVIDUAL #
—
05
—
242786622
—
MO
Enumeration date
02/06/2006
Last updated
08/15/2013
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