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Individual

DR. VICTOR BENVENUTO II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, ATTN PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
04-48025
KS
2080P0202X
Pediatric Cardiology Physician
Primary
2023027650
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200332500
MD
Enumeration date
03/22/2016
Last updated
02/24/2026
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