Individual
DR. CHARLES DAVID BENGTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD # MS 2027, KUMC PULMONARY CRITICAL CARE FELLOWSHIP PROGRAM, KANSAS CITY, KS 66160-0001
(913) 588-3974
(913) 588-0593
Mailing address
3901 RAINBOW BLVD # MS 3007, KUMC PULMONARY CRITICAL CARE FELLOWSHIP PROGRAM, KANSAS CITY, KS 66160-0001
(913) 588-6046
(913) 588-4098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-39016
KS
207R00000X
Internal Medicine Physician
9408190
KS
Other
Enumeration date
06/11/2013
Last updated
07/21/2016
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