Individual
DR. MANUEL R HERNANDEZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10918 ELM AVE, KANSAS CITY, MO 64134-4108
(816) 986-5240
(816) 767-4158
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 932-1711
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2015022436
MO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
2015022436
MO
Other
Enumeration date
05/12/2010
Last updated
03/07/2024
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