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NPI Code Detail

MEDICARE: DR. OTIS S LATIMER SR. M.D.

MEDICARE:  DR. OTIS S LATIMER SR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician102219MO

General Provider Information

NPI Number : 1033116058
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OTIS S LATIMER SR. M.D.
Provider Business Mailing Address
First Line : 5059 W 130TH TER
Second Line :
City : LEAWOOD
State : KS
Zip : 66209-1861
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3801 BLUE PKWY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64130-2807
Country : US
Telephone Number : 816-923-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 04/15/2011

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Directions to “ DR. OTIS S LATIMER SR. M.D.” Practice Location

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