Individual
DR. KENNETH CRAIG PLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9009 ROE AVE, PRAIRIE VILLAGE, KS 66207-2202
(913) 385-9009
(913) 385-3005
Mailing address
9009 ROE AVE, PRAIRIE VILLAGE, KS 66207-2202
(913) 385-9009
(913) 385-3005
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04-17640
KS
207W00000X
Ophthalmology Physician
35062
MO
207W00000X
Ophthalmology Physician
4301047588
MI
Other
Enumeration date
06/28/2006
Last updated
01/06/2011
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