NPI 1154373082

Keith R Hodge, MD

Practitioner Specialist Leawood, KS

Practice location

Address: 4801 W 135th St, Leawood, KS 66224-8901
Phone: (913) 663-3838
Fax: (913) 663-4434

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 04-30074 (KS)

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Registry record

NPI: 1154373082
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 May 2006
Record last updated: 4 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.