Healthcare Provider Details

I. General information

NPI: 1467545558
Provider Name (Legal Business Name): STEVEN ROBERT KREBEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 09/06/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 GILLHAM ROAD
KANSAS CITY MO
64108-4619
US

IV. Provider business mailing address

2401 GILLHAM ROAD PROVIDER ENROLLMENT DEPARTMENT
KANSAS CITY MO
64108-4619
US

V. Phone/Fax

Practice location:
  • Phone: 816-234-3000
  • Fax: 816-302-9939
Mailing address:
  • Phone: 816-701-5200
  • Fax: 816-302-9939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License NumberJ9139
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: