| Guillermo Couchonnal Md, Llc | |
|
6013 Leavenworth Rd Kansas City KS 66104-1436 | |
| (816) 942-4755 | |
| (816) 942-1581 |
| Full Name | Guillermo Couchonnal Md, Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 6013 Leavenworth Rd, Kansas City, Kansas |
| Authorized Official Name and Position | Guillermo Couchonnal (OWNER) |
| Authorized Official Contact | 8169424755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guillermo Couchonnal Md, Llc 1836 Lackland Hill Pkwy Saint Louis MO 63146-3572 Ph: (314) 872-1439 | Guillermo Couchonnal Md, Llc 6013 Leavenworth Rd Kansas City KS 66104-1436 Ph: (816) 942-4755 |
| NPI Number | 1346495942 |
|---|---|
| Provider Enumeration Date | 11/24/2008 |
| Last Update Date | 11/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346495942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 0417557 (Kansas) | Primary |
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