Knolla, Raelene Michelle

Knolla, Raelene Michelle is an individual health care provider with primary practice located at 3901 Rainbow Blvd Ms 1046, Kansas City KS 66160-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Knolla, Raelene Michelle can be contacted via phone (913) 588-6777.

Contact Information

Primary practice address
3901 Rainbow Blvd Ms 1046 Kansas City KS 66160-0001
Phone: (913) 588-6777
Fax: (913) 588-6765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 6363 Kansas

Profile Details

NPI number 1255462719
LBN Legal business name Knolla, Raelene Michelle
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255462719 NPPES
Kansas Other 6363 KANSAS TEMPORARY LICENSE
Kansas Other 2006012780 KANSAS TEMPORARY LICENSE

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