Kenneth Loem Rall in Columbia - General Practice

Kenneth Loem Rall - NPI 1558312884

Kenneth Loem Rall is a General Practice in Columbia, Missouri. Kenneth Loem Rall practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Loem Rall is 1558312884. The last update date is 2015-06-15.

Kenneth Loem Rall's current location address is 1904 Fieldstone Court, Columbia, Missouri. You can contact this provider via phone number 5739990884. The mailing address for Kenneth Loem Rall is 1904 Fieldstone Court, Columbia, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Loem Rall
Address 1904 Fieldstone Court, Columbia, Missouri
Phone Number 5739990884
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1558312884
Provider Enumeration Date 2006-05-12
Last Updated Date 2015-06-15

Provider Mailing Address Detail

Address 1904 Fieldstone Court
City Columbia
State Missouri (MO)
Post Code 65203
Phone Number 5739990884
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 27600
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00415739 MO RAILROAD MEDICARE
300090348 MO RR MEDICARE
200639755 MO --

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FAQs about Kenneth Loem Rall

What is the unique 10-digit identification code issued to Kenneth Loem Rall by the Centers for Medicare & Medicaid Services?

The Kenneth Loem Rall has been assigned the NPI (National Provider Identifier) 1558312884 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Kenneth Loem Rall?

The Kenneth Loem Rall is situated at 1904 Fieldstone Court, in the city of Columbia, state of MO, with the zip code 65203.

What is Kenneth Loem Rall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kenneth Loem Rall is General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1558312884 to Kenneth Loem Rall?

The Centers for Medicare & Medicaid Services assigned the 1558312884 to Kenneth Loem Rall on 2006-05-12.

As of what date were the details pertaining to Kenneth Loem Rall last refreshed?

The information related to the Kenneth Loem Rall, including its address, specialty, and other relevant details, was last updated on 2015-06-15.

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