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NPI Code Detail

MEDICARE: MR. DENNIS RAY DUNMYER II LSCSW

MEDICARE: MR. DENNIS RAY DUNMYER II LSCSW
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
11041C0700XClinical Social Worker3863KS

General Provider Information

NPI Number : 1457410342
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DENNIS RAY DUNMYER II LSCSW
Provider Business Mailing Address
First Line : 242 E 72ND TER
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-1415
Country : US
Telephone Number : 816-444-6585
Fax Number :
Provider Business Practice Location Address
First Line : 8000 W 127TH ST
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66213-2714
Country : US
Telephone Number : 816-508-3339
Fax Number : 816-508-3302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 02/19/2009

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