Individual
CHARLES ALTFILLISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD # MS 2027, KANSAS CITY, KS 66160-8500
(913) 588-3974
Mailing address
3901 RAINBOW BLVD # MS 2027, KANSAS CITY, KS 66160-8500
(913) 588-3974
(913) 588-6055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-49623
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2021
Last updated
08/21/2024
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