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Individual

DR. RICHARD A KORENTAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3901 RAINBOW BLVD, DEPARTMENT OF SURGERY, KANSAS CITY, KS 66160-0001
(913) 588-2067
Mailing address
3901 RAINBOW BLVD, 4070 DELP, MAILSTOP 4017, KANSAS CITY, KS 66160-0001
(913) 588-2527
(913) 588-1445

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0427388
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204625701
MO
01
25162093
BCBS OF KANSAS CITY
Enumeration date
06/24/2006
Last updated
07/08/2007
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