Keenan R Berghoff in North Kansas City - Surgery
Keenan R Berghoff - NPI 1720027212
Keenan R Berghoff is a Surgery in North Kansas City, Missouri. Keenan R Berghoff practices all healthcare services and medical treatments related to Surgery. The NPI Number for Keenan R Berghoff is 1720027212. The last update date is 2021-02-18.
Keenan R Berghoff's current location address is 2790 Clay Edwards Dr Ste 625, North Kansas City, Missouri. You can contact this provider via phone number 8164553990 and fax number 8164555351. The mailing address for Keenan R Berghoff is 2790 Clay Edwards Dr Ste 625, North Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Keenan R Berghoff |
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Address | 2790 Clay Edwards Dr Ste 625, North Kansas City, Missouri |
Phone Number | 8164553990 |
Fax Number | 8164555351 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1720027212 |
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Provider Enumeration Date | 2006-06-06 |
Last Updated Date | 2021-02-18 |
Provider Mailing Address Detail
Address | 2790 Clay Edwards Dr Ste 625 |
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City | North Kansas City |
State | Missouri (MO) |
Post Code | 641163278 |
Phone Number | 8164553990 |
Fax Number | 8164555351 |
Provider's Primary Taxonomy Detail
Speciality | Surgery |
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Taxonomy | 208600000X |
Licence No | 01063361A |
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
607167 | IN | ANTHEM | |
200855420 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Keenan R Berghoff by the Centers for Medicare & Medicaid Services (CMS)?
The Keenan R Berghoff has been assigned the NPI (National Provider Identifier) 1720027212. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Keenan R Berghoff's facilities are geographically located?
The facilities of Keenan R Berghoff are physically situated at the following location: 2790 Clay Edwards Dr Ste 625, North Kansas City, MO, 641163278.
What is Keenan R Berghoff's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Keenan R Berghoff's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
When did the Keenan R Berghoff receive its 1720027212?
The Keenan R Berghoff was issued its 1720027212 on 2006-06-06, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Keenan R Berghoff last refreshed?
The information related to the Keenan R Berghoff, including its address, specialty, and other relevant details, was last updated on 2021-02-18.
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