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NPI Code Detail

MEDICARE: DR. KENNETH WILLIAM GRASING M.D.

MEDICARE: DR. KENNETH WILLIAM GRASING 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 Physician28181KS
2208U00000XClinical Pharmacology Physician28181KS

General Provider Information

NPI Number : 1083895700
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH WILLIAM GRASING M.D.
Provider Business Mailing Address
First Line : 4801 E LINWOOD BLVD
Second Line : DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER
City : KANSAS CITY
State : MO
Zip : 64128-2226
Country : US
Telephone Number : 816-922-2756
Fax Number : 816-861-1110
Provider Business Practice Location Address
First Line : 4801 E LINWOOD BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64128-2226
Country : US
Telephone Number : 816-922-2756
Fax Number : 816-861-1110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2007
Last Update Date : 11/21/2007

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