| Kenneth N. Azan, M.d., Pc | |
|
1718 S Ingram Ave Suite C Sedalia MO 65301-7505 | |
| (660) 827-2535 | |
| (660) 826-5228 |
| Full Name | Kenneth N. Azan, M.d., Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1718 S Ingram Ave, Sedalia, Missouri |
| Authorized Official Name and Position | Kenneth Najeeb Azan (PRESIDENT) |
| Authorized Official Contact | 6608272535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth N. Azan, M.d., Pc 1718 S Ingram Ave Suite C Sedalia MO 65301-7505 Ph: (660) 827-2535 | Kenneth N. Azan, M.d., Pc 1718 S Ingram Ave Suite C Sedalia MO 65301-7505 Ph: (660) 827-2535 |
| NPI Number | 1689796369 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689796369 | NPI | - | NPPES |
| 06594013 | Other | MO | BLUE CROSS BLUE SHIELD KC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R6443 (Missouri) | Primary |
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