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Individual

DR. REBECCA SUE HODOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2700 CLAY EDWARDS DR, SUITE 240, NORTH KANSAS CITY, MO 64116-3251
(816) 455-0681
(816) 455-5294
Mailing address
9411 N OAK TRFY STE LL1, KANSAS CITY, MO 64155-2262
(816) 691-1655
(816) 455-5294

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-30362
KS
207R00000X
Internal Medicine Physician
118565
MO
208M00000X
Hospitalist Physician
Primary
118565
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100643980A
KS
05
100643980B
KS
05
1992798094
MO
05
205879802
MO
01
25932022
BCBS
01
370510
FIRST GUARD
01
7445001
AETNA
Enumeration date
08/24/2005
Last updated
05/30/2023
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