Individual
RICHARD J. MCKITTRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12200 W 110TH ST, OVERLAND PARK, KS 66210-4045
(913) 574-2650
(913) 574-2769
Mailing address
11300 CORPORATE AVE, LENEXA, KS 66219-1374
(913) 574-2650
(913) 574-2769
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0423158
KS
207RH0003X
Hematology & Oncology Physician
108885
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100126220C
—
KS
05
—
100126220D
—
KS
05
—
1932170537
—
MO
Enumeration date
01/31/2006
Last updated
08/24/2023
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