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Individual

DR. COLTON HIGUERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8255
(913) 588-6706
Mailing address
1522 LAKE AVE, KANSAS CITY, KS 66103-1733
(951) 219-2852

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
94-11710
KS
208D00000X
General Practice Physician
2023026722
MO
390200000X
Student in an Organized Health Care Education/Training Program
NM

Other

Enumeration date
03/25/2022
Last updated
06/24/2024
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