Kent Douglas Mcintire in Joplin - Otolaryngology/facial Plastic Surgery

Kent Douglas Mcintire - NPI 1457331324

Kent Douglas Mcintire is a Otolaryngology/facial Plastic Surgery in Joplin, Missouri. Kent Douglas Mcintire practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Kent Douglas Mcintire is 1457331324. The last update date is 2021-04-07.

Kent Douglas Mcintire's current location address is Po Box 3810, Joplin, Missouri. You can contact this provider via phone number 4173476767 and fax number 4173473170. The mailing address for Kent Douglas Mcintire is Po Box 3810, Joplin, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kent Douglas Mcintire
Address Po Box 3810, Joplin, Missouri
Phone Number 4173476767
Fax Number 4173473170
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1457331324
Provider Enumeration Date 2006-01-18
Last Updated Date 2021-04-07

Provider Mailing Address Detail

Address Po Box 3810
City Joplin
State Missouri (MO)
Post Code 648033810
Phone Number 4173476767
Fax Number 4173473170

Provider's Primary Taxonomy Detail

Speciality Otolaryngology/facial Plastic Surgery
Taxonomy 207Yx0905X
Licence No 3367
Definition:
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
247988108 MO --
9102 MO BLUE CROSS

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FAQs about Kent Douglas Mcintire

What is the unique 10-digit identification code issued to Kent Douglas Mcintire by the Centers for Medicare & Medicaid Services?

The Kent Douglas Mcintire has been assigned the NPI (National Provider Identifier) 1457331324 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Kent Douglas Mcintire's facilities are geographically located?

The facilities of Kent Douglas Mcintire are physically situated at the following location: Po Box 3810, Joplin, MO, 648033810.

What is Kent Douglas Mcintire's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kent Douglas Mcintire's specialized field of practice is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 207Yx0905X.

On what date did the Kent Douglas Mcintire receive the assignment of its 1457331324 from the Centers for Medicare & Medicaid Services?

The Kent Douglas Mcintire was issued its 1457331324 by the Centers for Medicare & Medicaid Services on 2006-01-18.

As of what date was the information regarding Kent Douglas Mcintire, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kent Douglas Mcintire, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-04-07.

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