MEDICARE: DARRREN GRANT CAUVEL

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
1	246QH0600X	Histology Specialist/Technologist

General Provider Information

NPI Number	:	1821307687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARRREN GRANT CAUVEL

Provider Business Mailing Address
First Line	:	2826 HARRISON ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64109-1202
Country	:	US
Telephone Number	:	816-560-6138
Fax Number	:

Provider Business Practice Location Address
First Line	:	2826 HARRISON ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64109-1202
Country	:	US
Telephone Number	:	816-560-6138
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2010
Last Update Date	:	09/28/2010

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